Healthcare Provider Details

I. General information

NPI: 1578487591
Provider Name (Legal Business Name): NOT YOUR AVG THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 MCCRIMMON PKWY UNIT 404
MORRISVILLE NC
27560-5891
US

IV. Provider business mailing address

5820 MCCRIMMON PKWY UNIT 404
MORRISVILLE NC
27560-5891
US

V. Phone/Fax

Practice location:
  • Phone: 919-520-5285
  • Fax:
Mailing address:
  • Phone: 919-520-5285
  • Fax:

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: JOQUITA COOPER
Title or Position: OWNER, COUNSELOR
Credential: LCMHC
Phone: 919-520-5285