Healthcare Provider Details

I. General information

NPI: 1689511669
Provider Name (Legal Business Name): KINDRED COUNSELING AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 FALCON LN
LEXINGTON NC
27295-7730
US

IV. Provider business mailing address

283 FALCON LN
LEXINGTON NC
27295-7730
US

V. Phone/Fax

Practice location:
  • Phone: 336-695-3910
  • Fax:
Mailing address:
  • Phone: 336-462-8238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANGELA VERONICA HAMILTON-RUCKER
Title or Position: OWNER/DIRECTOR
Credential: LCMHC
Phone: 336-695-3910