Healthcare Provider Details

I. General information

NPI: 1831687540
Provider Name (Legal Business Name): INTEGRITY COUNSELING & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2018
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SE MAYNARD RD STE 203
CARY NC
27511-6937
US

IV. Provider business mailing address

PO BOX 3836
CARY NC
27519-3836
US

V. Phone/Fax

Practice location:
  • Phone: 919-379-5788
  • Fax: 919-336-4700
Mailing address:
  • Phone: 919-379-5788
  • Fax: 919-336-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHANNA REYES
Title or Position: OWNER
Credential:
Phone: 919-379-5788