Healthcare Provider Details

I. General information

NPI: 1255219218
Provider Name (Legal Business Name): CALM CAROLINA COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4912 GLENDARION DR
DURHAM NC
27713-8027
US

IV. Provider business mailing address

1204 FAYETTEVILLE ST # 1071
DURHAM NC
27707-2324
US

V. Phone/Fax

Practice location:
  • Phone: 984-800-3085
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN NAHLE
Title or Position: OWNER
Credential:
Phone: 984-800-3085