Healthcare Provider Details

I. General information

NPI: 1396569372
Provider Name (Legal Business Name): VALOR COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352B RALEIGH ST
HOLLY SPRINGS NC
27540-9047
US

IV. Provider business mailing address

352B RALEIGH ST
HOLLY SPRINGS NC
27540-9047
US

V. Phone/Fax

Practice location:
  • Phone: 919-616-4413
  • Fax:
Mailing address:
  • Phone: 919-616-4413
  • 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: ASHLEY FRANCIS WRIGHT
Title or Position: PRACTICE OWNER
Credential: LCMHC
Phone: 919-616-4413