=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508717067
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STONEBUILDERS FAMILY COUNSELING CENTER, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2026
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8025 N POINT BLVD # 244
-----------------------------------------------------
City | WINSTON SALEM
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27106-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-306-9198
-----------------------------------------------------
Fax | 336-450-1809
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8025 N POINT BLVD # 244
-----------------------------------------------------
City | WINSTON SALEM
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27106-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-306-9198
-----------------------------------------------------
Fax | 336-450-1809
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO/PRACTITIONER
-----------------------------------------------------
Name | MRS. ROSELLA EDWARDS-EASLEY
-----------------------------------------------------
Credential | LCMHC, LCAS
-----------------------------------------------------
Telephone | 336-866-9526
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------