MEDICARE: COUNSELING OF THE CAROLINAS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1790330066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING OF THE CAROLINAS

Provider Business Mailing Address
First Line	:	4203 YARMOUTH RD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-2968
Country	:	US
Telephone Number	:	252-259-6374
Fax Number	:

Provider Business Practice Location Address
First Line	:	2423 HIGHWAY 17 S STE 129
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-4343
Country	:	US
Telephone Number	:	281-865-1704
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARJORIE WRIGHT
Credential	:
Telephone Number	:	252-259-6374

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	08/05/2019

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Directions to “COUNSELING OF THE CAROLINAS ” Practice Location

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