Healthcare Provider Details

I. General information

NPI: 1093640369
Provider Name (Legal Business Name): ELECHRIS HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

1852 BANKING ST # 29698
GREENSBORO NC
27408-7222
US

V. Phone/Fax

Practice location:
  • Phone: 336-355-8550
  • Fax:
Mailing address:
  • Phone: 336-355-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: ELEANOR WILLIAMS
Title or Position: MEMBER
Credential: MSW, LCSW
Phone: 336-355-8550