Healthcare Provider Details
I. General information
NPI: 1558103267
Provider Name (Legal Business Name): IN THE STILLNESS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2106 CHANTILLY LN
SALISBURY NC
28146-9512
US
IV. Provider business mailing address
355 FAITH RD # 1026
SALISBURY NC
28146-7007
US
V. Phone/Fax
- Phone: 794-467-1100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GENEVA
LOVAS LOPEZ
Title or Position: OWNER/THERAPIST
Credential: LCMHC, LCAS
Phone: 704-467-1100