Healthcare Provider Details

I. General information

NPI: 1508717067
Provider Name (Legal Business Name): STONEBUILDERS FAMILY COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 N POINT BLVD # 244
WINSTON SALEM NC
27106-3262
US

IV. Provider business mailing address

8025 N POINT BLVD # 244
WINSTON SALEM NC
27106-3262
US

V. Phone/Fax

Practice location:
  • Phone: 336-306-9198
  • Fax: 336-450-1809
Mailing address:
  • Phone: 336-306-9198
  • Fax: 336-450-1809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSELLA EDWARDS-EASLEY
Title or Position: PRESIDENT/CEO/PRACTITIONER
Credential: LCMHC, LCAS
Phone: 336-866-9526