Healthcare Provider Details

I. General information

NPI: 1295542124
Provider Name (Legal Business Name): WOLF AND WILLOW COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 SUGAR COVE LN
CHAPEL HILL NC
27516-6320
US

IV. Provider business mailing address

542 SUGAR COVE LN
CHAPEL HILL NC
27516-6320
US

V. Phone/Fax

Practice location:
  • Phone: 984-528-6567
  • Fax:
Mailing address:
  • Phone: 984-528-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CINDY PEREZ
Title or Position: OWNER/OUTPATIENT THERAPIST
Credential: LCMHCA
Phone: 984-528-6567