Healthcare Provider Details

I. General information

NPI: 1104364181
Provider Name (Legal Business Name): ANNE STORELLI, LPC, LMFT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 LEGION RD STE 226
CHAPEL HILL NC
27517-2374
US

IV. Provider business mailing address

1709 LEGION RD STE 226
CHAPEL HILL NC
27517-2374
US

V. Phone/Fax

Practice location:
  • Phone: 919-391-8915
  • Fax: 919-914-9021
Mailing address:
  • Phone: 919-391-8915
  • Fax: 919-914-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8548
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8548
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1406
License Number StateNC

VIII. Authorized Official

Name: ANNE STORELLI
Title or Position: OWNER/THERAPIST
Credential: LPC, LMFT
Phone: 919-391-8915