Healthcare Provider Details

I. General information

NPI: 1427912617
Provider Name (Legal Business Name): CLIFFORD COUNSELING GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PROVIDENCE RD STE 201
CHAPEL HILL NC
27514-2208
US

IV. Provider business mailing address

150 PROVIDENCE RD STE 201
CHAPEL HILL NC
27514-2208
US

V. Phone/Fax

Practice location:
  • Phone: 919-548-8767
  • Fax: 919-548-8767
Mailing address:
  • Phone: 919-548-8767
  • Fax: 919-335-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAMES JARRETT CLIFFORD
Title or Position: MANAGING MEMBER
Credential: LCMHCS
Phone: 919-548-8767