Healthcare Provider Details

I. General information

NPI: 1114889409
Provider Name (Legal Business Name): WHOLE-PERSON COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MEMORIAL DR
PINEHURST NC
28374-8707
US

IV. Provider business mailing address

616 FULTON ST
RAEFORD NC
28376-2120
US

V. Phone/Fax

Practice location:
  • Phone: 910-518-8185
  • Fax:
Mailing address:
  • Phone: 417-234-1599
  • 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: NICHOLE SURBER
Title or Position: COUNSELOR/OWNER
Credential:
Phone: 417-234-1599