Healthcare Provider Details

I. General information

NPI: 1518763549
Provider Name (Legal Business Name): HAYWOOD COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOSPITAL DR STE 8
CLYDE NC
28721-8046
US

IV. Provider business mailing address

9O PURRFECT VIEW DRIVE
CANTON NC
28716
US

V. Phone/Fax

Practice location:
  • Phone: 828-335-5895
  • Fax:
Mailing address:
  • Phone: 828-335-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MISTY ANNARINO
Title or Position: THERAPIST/OWNER
Credential: LCMHC
Phone: 828-335-5895