Healthcare Provider Details

I. General information

NPI: 1831043231
Provider Name (Legal Business Name): NORRIE PHOENIX COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3694 CLAY POND VILLAGE LN APT 5
MYRTLE BEACH SC
29579-7363
US

IV. Provider business mailing address

3694 CLAY POND VILLAGE LN APT 5
MYRTLE BEACH SC
29579-7363
US

V. Phone/Fax

Practice location:
  • Phone: 781-385-0820
  • Fax: 401-204-1422
Mailing address:
  • Phone: 781-385-0820
  • Fax: 401-204-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HEATHER KERBLE
Title or Position: OWNER
Credential: LISW-CP, LICSW
Phone: 781-385-0820