Healthcare Provider Details

I. General information

NPI: 1114832763
Provider Name (Legal Business Name): MOTHERHOOD UNCENSORED THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3428 SURRY LANE
GOLDSBORO NC
27530
US

IV. Provider business mailing address

5306 SIX FORKS RD STE 107
RALEIGH NC
27609-4468
US

V. Phone/Fax

Practice location:
  • Phone: 919-205-8443
  • Fax:
Mailing address:
  • Phone: 919-205-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY DREYER
Title or Position: LCMHCA/ MENTAL HEALTH COUNSELOR
Credential: LCMHCA
Phone: 919-205-8443