Healthcare Provider Details

I. General information

NPI: 1184182891
Provider Name (Legal Business Name): MORNING VIEW COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4070 BARRETT DR
RALEIGH NC
27609-6604
US

IV. Provider business mailing address

113 WOODS REAM DR
RALEIGH NC
27615-7227
US

V. Phone/Fax

Practice location:
  • Phone: 919-670-5972
  • Fax:
Mailing address:
  • Phone: 919-670-5972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KERRY A PAKSOY
Title or Position: OWNER/OPERATOR
Credential: LPC, LCAS
Phone: 919-670-5972