Healthcare Provider Details

I. General information

NPI: 1528905940
Provider Name (Legal Business Name): KINDRED CONNECTIONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 BRUSSELS CT
WALKERTOWN NC
27051-9546
US

IV. Provider business mailing address

6010 BRUSSELS CT
WALKERTOWN NC
27051-9546
US

V. Phone/Fax

Practice location:
  • Phone: 561-401-3408
  • Fax:
Mailing address:
  • Phone: 561-401-3408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. OLIVIA D EASLEY
Title or Position: MANAGING OWNER, COUNSELOR
Credential: PHD, LCMHC, QS
Phone: 561-401-3408