Healthcare Provider Details

I. General information

NPI: 1891621223
Provider Name (Legal Business Name): KULLICK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 430
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

4030 WAKE FOREST RD STE 430
RALEIGH NC
27609-0010
US

V. Phone/Fax

Practice location:
  • Phone: 704-774-9450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. MEGAN FRANCIS KULLICK
Title or Position: OWNER/THERAPIST
Credential: LCMHCA
Phone: 704-774-9450