Healthcare Provider Details

I. General information

NPI: 1700679974
Provider Name (Legal Business Name): SEEKING SELF PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 EUGENE CT
GREENSBORO NC
27401-2714
US

IV. Provider business mailing address

201 N MURROW BLVD # 68
GREENSBORO NC
27401-2914
US

V. Phone/Fax

Practice location:
  • Phone: 252-631-0049
  • Fax:
Mailing address:
  • Phone: 252-631-0049
  • 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIERRA MUNDINE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 252-631-0049