Healthcare Provider Details

I. General information

NPI: 1205760873
Provider Name (Legal Business Name): AMD COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S MAIN ST STE 212-1019
HOLLY SPRINGS NC
27540-4200
US

IV. Provider business mailing address

300 S MAIN ST STE 212-1019
HOLLY SPRINGS NC
27540-4200
US

V. Phone/Fax

Practice location:
  • Phone: 919-675-3997
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. SHATOI SCOTT
Title or Position: OWNER
Credential: PH.D.
Phone: 980-448-4647