Healthcare Provider Details

I. General information

NPI: 1457261455
Provider Name (Legal Business Name): GOVATOS COUNSELING & CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 BRIARCLIFFE RD STE 10
WINSTON SALEM NC
27106-3176
US

IV. Provider business mailing address

4870 THALES RD APT I
WINSTON SALEM NC
27104-4685
US

V. Phone/Fax

Practice location:
  • Phone: 336-701-1925
  • Fax: 336-773-0332
Mailing address:
  • Phone: 336-701-1925
  • Fax: 336-773-0332

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: MS. ALEXA E HENSON
Title or Position: OWNER
Credential: LCMHC
Phone: 336-701-1925