Healthcare Provider Details

I. General information

NPI: 1528877347
Provider Name (Legal Business Name): GARRISON COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 SPENCER MOUNTAIN RD
GASTONIA NC
28054-3016
US

IV. Provider business mailing address

233 LAKE GEORGE DR
SHELBY NC
28152-6986
US

V. Phone/Fax

Practice location:
  • Phone: 704-860-8440
  • Fax:
Mailing address:
  • Phone: 704-860-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH GARRISON WILSON
Title or Position: LCMHC/OWNER
Credential:
Phone: 704-860-8440