MEDICARE: M&T COUNSELING SERVICES 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	:	1811693153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&T COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	46 CAMDEN COURT
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870
Country	:	US
Telephone Number	:	252-676-2656
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 JACKSON ST STE 215
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-2600
Country	:	US
Telephone Number	:	252-676-2656
Fax Number	:	252-541-3111

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. TRAVIS ANTONIO SHOULARS
Credential	:	MS, MPA, LCMHC, NCC
Telephone Number	:	252-676-2656

Provider Enumeration Date	:	02/07/2023
Last Update Date	:	03/05/2026

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