Healthcare Provider Details

I. General information

NPI: 1235896648
Provider Name (Legal Business Name): PERSON FIRST COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 12/30/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6514 OLD WAKE FOREST RD #100
RALEIGH NC
27616
US

IV. Provider business mailing address

3650 ROGERS RD # PMB324
WAKE FOREST NC
27587-9306
US

V. Phone/Fax

Practice location:
  • Phone: 919-302-8800
  • Fax:
Mailing address:
  • Phone: 919-302-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER J WRIGHT MCDOUGAL
Title or Position: OWNER/MEMBER
Credential: LCMHC, LCAS, CRC
Phone: 919-302-8800