Healthcare Provider Details

I. General information

NPI: 1225949324
Provider Name (Legal Business Name): SAGE AND SOUL COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4953 MCCALL TOWN RD
GRANITE FALLS NC
28630-8925
US

IV. Provider business mailing address

4953 MCCALL TOWN RD
GRANITE FALLS NC
28630-8925
US

V. Phone/Fax

Practice location:
  • Phone: 828-572-3053
  • Fax:
Mailing address:
  • Phone: 828-572-3053
  • 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: REBECCA WOODS
Title or Position: OWNER
Credential: LCMHC
Phone: 910-777-1531