Healthcare Provider Details
I. General information
NPI: 1326846270
Provider Name (Legal Business Name): COUNSELING CHOICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5561 MCNEELY DR STE 302
RALEIGH NC
27612-7625
US
IV. Provider business mailing address
5561 MCNEELY DR STE 302
RALEIGH NC
27612-7625
US
V. Phone/Fax
- Phone: 919-295-2188
- Fax:
- Phone: 919-295-2188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDON
ROBINSON
Title or Position: OWNER
Credential:
Phone: 919-673-1383