Healthcare Provider Details

I. General information

NPI: 1225883127
Provider Name (Legal Business Name): GOOD4ME COUNSELING AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4922 WINDY HILL DR STE A
RALEIGH NC
27609-5196
US

IV. Provider business mailing address

PO BOX 1107
KNIGHTDALE NC
27545-1107
US

V. Phone/Fax

Practice location:
  • Phone: 828-690-0972
  • Fax: 919-591-0499
Mailing address:
  • Phone: 919-247-2460
  • Fax: 919-591-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. NATALIE NICOLE SCOTT
Title or Position: PRESIDENT/OWNER
Credential: LCMHC
Phone: 919-247-2460