1487322467 NPI number — NOUR COUNSELING & CONSULTING, PLLC

Table of content: (NPI 1487322467)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487322467 NPI number — NOUR COUNSELING & CONSULTING, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOUR COUNSELING & CONSULTING, 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:
NOUR CONSULTING GROUP, LLC
Provider Other Organization Name Type Code:
4
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:
1487322467
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11428 ROYAL AMBER WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27614-9896
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-213-1331
Provider Business Mailing Address Fax Number:
919-741-4741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11428 ROYAL AMBER WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27614-9896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-213-1331
Provider Business Practice Location Address Fax Number:
919-741-4741
Provider Enumeration Date:
09/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
NOUR
Authorized Official First Name:
MONA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
919-213-1331

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2040 . This is a "BOARD CERTIFIED TELEMENTAL HEALTH COUNSELOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1035501 . This is a "NATIONAL CERTIFIED COUNSELOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: A15628 . This is a "LICENSED CLINICAL MENTAL HEALTH COUNSELOR ASSOCIATE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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