Healthcare Provider Details

I. General information

NPI: 1699693028
Provider Name (Legal Business Name): CLINICAL VYBEZ COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 US 70 HWY W
GARNER NC
27529-2501
US

IV. Provider business mailing address

1027 US 70 HWY W
GARNER NC
27529-2501
US

V. Phone/Fax

Practice location:
  • Phone: 845-476-7080
  • Fax:
Mailing address:
  • Phone: 845-476-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NAKUNDA MCCOY EVERETT
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 845-476-1020