1447974886 NPI number — STONEBRAKER COUNSELING SERVICES, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447974886 NPI number — STONEBRAKER COUNSELING SERVICES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STONEBRAKER COUNSELING SERVICES, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447974886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1006 SCOTCH PINE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEBANE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-830-0187
Provider Business Mailing Address Fax Number:
919-214-9306

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1006 SCOTCH PINE WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEBANE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-830-0187
Provider Business Practice Location Address Fax Number:
919-214-9306
Provider Enumeration Date:
09/29/2022

Additional Information

Authorized Official

Authorized Official Last Name:
STONEBRAKER
Authorized Official First Name:
CECILIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, STONEBRAKER COUNSELING SERVI
Authorized Official Telephone Number:
919-360-4053

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com