Healthcare Provider Details

I. General information

NPI: 1003724527
Provider Name (Legal Business Name): SELAH COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 WASHINGTON ST STE B
RALEIGH NC
27605
US

IV. Provider business mailing address

514 DANIELS ST
RALEIGH NC
27605-1317
US

V. Phone/Fax

Practice location:
  • Phone: 919-439-4335
  • Fax:
Mailing address:
  • Phone: 919-439-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA SMITH
Title or Position: OWNER
Credential: LCMHC
Phone: 919-439-4335