Healthcare Provider Details

I. General information

NPI: 1457866105
Provider Name (Legal Business Name): SIMPLICITY COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2017
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 N SPENCE AVE STE A
GOLDSBORO NC
27534-4354
US

IV. Provider business mailing address

662 N SPENCE AVE
GOLDSBORO NC
27534-4233
US

V. Phone/Fax

Practice location:
  • Phone: 919-330-4147
  • Fax: 193-304-1429
Mailing address:
  • Phone: 919-988-6620
  • Fax: 919-788-0827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3391-A
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA11401
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC008406
License Number StateNC

VIII. Authorized Official

Name: CRYSTAL HOLDCROFT
Title or Position: ADMINISTRATOR
Credential:
Phone: 770-527-7966