Healthcare Provider Details

I. General information

NPI: 1770977654
Provider Name (Legal Business Name): AUTUMN SKYE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E UNION ST UNIT B115
MORGANTON NC
28655-3478
US

IV. Provider business mailing address

305 E UNION ST UNIT B115
MORGANTON NC
28655-3478
US

V. Phone/Fax

Practice location:
  • Phone: 303-847-7042
  • Fax: 303-458-5097
Mailing address:
  • Phone: 303-847-7042
  • Fax: 303-458-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VICKIE JEAN KULINSKI
Title or Position: OWNER/PSYCHOTHERAPIST
Credential:
Phone: 303-847-7042