Healthcare Provider Details

I. General information

NPI: 1538920608
Provider Name (Legal Business Name): HAYSON COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 COUNTRY CLUB RD
ROCKY MOUNT NC
27804-1706
US

IV. Provider business mailing address

872 RED OAK HILLS RD
NASHVILLE NC
27856-9671
US

V. Phone/Fax

Practice location:
  • Phone: 252-443-4401
  • Fax: 252-972-4502
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMBER H HINSON
Title or Position: OWNER
Credential: MA/MED,LCAS, LCMHC-A
Phone: 252-443-4401