MEDICARE: SYNERGY4YOUTH NC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YS0200X	School Counselor
2	101Y00000X	Counselor
3	251B00000X	Case Management Agency
4	101YA0400X	Addiction (Substance Use Disorder) Counselor
5	104100000X	Social Worker
6	101YM0800X	Mental Health Counselor
7	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1326871526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY4YOUTH NC PLLC

Provider Business Mailing Address
First Line	:	1312 HOSMER CT
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-9433
Country	:	US
Telephone Number	:	919-358-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 HOSMER CT
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-9433
Country	:	US
Telephone Number	:	919-358-2339
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST / OWNER
Name	:	SHUREKA GUINOO
Credential	:	MSW LCSW
Telephone Number	:	919-358-2339

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	03/23/2026

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Directions to “SYNERGY4YOUTH NC PLLC ” Practice Location

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