=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093166720
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE PRESLEY LCMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2016
-----------------------------------------------------
Last Update Date | 09/14/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 513 S MAIN ST SUITE 200
-----------------------------------------------------
City | REIDSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27320-5002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-347-7415
-----------------------------------------------------
Fax | 336-347-7419
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 229 TURNER DR
-----------------------------------------------------
City | REIDSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27320-5736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-349-2233
-----------------------------------------------------
Fax | 336-347-7419
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 10120
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------