Healthcare Provider Details

I. General information

NPI: 1043820715
Provider Name (Legal Business Name): KEEP COUNSEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8319 SIX FORKS RD STE 203
RALEIGH NC
27615-2108
US

IV. Provider business mailing address

8319 SIX FORKS RD STE 203
RALEIGH NC
27615-2108
US

V. Phone/Fax

Practice location:
  • Phone: 919-307-8664
  • Fax: 919-825-0119
Mailing address:
  • Phone: 919-307-8664
  • Fax: 919-825-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MAXIMILIAN SERGE SHAFIR
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 919-672-4374