Healthcare Provider Details

I. General information

NPI: 1609581628
Provider Name (Legal Business Name): CENTER FOR LOSS, GRIEF, HOPE & HEALING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 S EAST ST
RALEIGH NC
27601-2369
US

IV. Provider business mailing address

219 S EAST ST
RALEIGH NC
27601-2369
US

V. Phone/Fax

Practice location:
  • Phone: 919-816-2245
  • Fax: 919-981-9425
Mailing address:
  • Phone: 919-816-2245
  • Fax: 919-981-9425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NOLA M SIMPSON
Title or Position: OWNER
Credential: LCMHC
Phone: 808-250-5129