Healthcare Provider Details

I. General information

NPI: 1902574593
Provider Name (Legal Business Name): LIMITLESS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5848 WYNMORE RD
RALEIGH NC
27610-4091
US

IV. Provider business mailing address

5848 WYNMORE RD
RALEIGH NC
27610-4091
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-3314
  • Fax: 919-822-9215
Mailing address:
  • Phone: 919-247-3314
  • Fax: 919-822-9215

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 Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BYALINAH S SHAKIR-BURGESS
Title or Position: OWNER
Credential: LCMHC
Phone: 919-247-3314