MEDICARE: MONTE CRISTO COUNSELING PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346194354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTE CRISTO COUNSELING PLLC

Provider Business Mailing Address
First Line	:	2507 NEUSE BLVD, STE B
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2507 NEUSE BLVD, STE B
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562
Country	:	US
Telephone Number	:	252-649-8422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHERWOOD MILLER HARRISON III
Credential	:
Telephone Number	:	252-649-8422

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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