Healthcare Provider Details

I. General information

NPI: 1033515069
Provider Name (Legal Business Name): NUME COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2014
Last Update Date: 04/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SALEM WOODS DR SUITE 204
RALEIGH NC
27615-3344
US

IV. Provider business mailing address

12500 ANGEL FALLS RD
RALEIGH NC
27614-7565
US

V. Phone/Fax

Practice location:
  • Phone: 919-449-7059
  • Fax: 866-960-8494
Mailing address:
  • Phone: 919-449-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number5058S
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5058S
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5058S
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5058
License Number StateNC

VIII. Authorized Official

Name: PAMELA ELAINE WILLIAMS
Title or Position: OWNER
Credential: M.S,, LPC-S, TF CBT
Phone: 919-449-7059