Healthcare Provider Details

I. General information

NPI: 1689198095
Provider Name (Legal Business Name): 21ST CENTURY COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E GREEN ST
ROCKINGHAM NC
28379-3423
US

IV. Provider business mailing address

304 E GREEN ST
ROCKINGHAM NC
28379-3423
US

V. Phone/Fax

Practice location:
  • Phone: 910-817-9181
  • Fax: 800-878-9353
Mailing address:
  • Phone: 910-817-9181
  • Fax: 800-878-9353

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: DR. JONADAB SAMUEL FRANCO
Title or Position: CEO
Credential: PSYD, LCSW
Phone: 910-817-9181