Healthcare Provider Details

I. General information

NPI: 1114770484
Provider Name (Legal Business Name): PRACTICAL COUNSELING SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 CHAMBERS CHAPEL CIR
MORGANTON NC
28655-9233
US

IV. Provider business mailing address

4293 OAKLAND DR
MORGANTON NC
28655-8410
US

V. Phone/Fax

Practice location:
  • Phone: 828-490-7053
  • Fax: 828-334-3788
Mailing address:
  • Phone: 828-612-4383
  • 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: MRS. ILAR DAVIDSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 828-612-4383