Healthcare Provider Details

I. General information

NPI: 1194283507
Provider Name (Legal Business Name): REFRAME COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 SAVANNAH RIDGE ROAD SUITES 204-206
HOLLY SPRINGS NC
27502
US

IV. Provider business mailing address

1709 KELLY GLEN DR
APEX NC
27502-5270
US

V. Phone/Fax

Practice location:
  • Phone: 678-536-5226
  • Fax:
Mailing address:
  • Phone: 678-536-5218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON ROBERT COLE
Title or Position: OWNER
Credential: LPC
Phone: 678-536-5226