Healthcare Provider Details

I. General information

NPI: 1689449183
Provider Name (Legal Business Name): OBEID COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 ORANGE HIGH SCHOOL RD
HILLSBOROUGH NC
27278-8481
US

IV. Provider business mailing address

914 ORANGE HIGH SCHOOL RD
HILLSBOROUGH NC
27278-8481
US

V. Phone/Fax

Practice location:
  • Phone: 919-406-4792
  • Fax:
Mailing address:
  • Phone: 919-406-4792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANE S OBEID
Title or Position: CLINICAL DIRECTOR
Credential: M.ED., LCMHC, LCASA,
Phone: 919-406-4792