Provider Demographics
NPI:1194569301
Name:C3 COUNSELING AND MINDFULNESS, PLLC
Entity type:Organization
Organization Name:C3 COUNSELING AND MINDFULNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOODWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:984-777-0987
Mailing Address - Street 1:10802 WILKINS RD
Mailing Address - Street 2:
Mailing Address - City:ROUGEMONT
Mailing Address - State:NC
Mailing Address - Zip Code:27572-9478
Mailing Address - Country:US
Mailing Address - Phone:919-724-7929
Mailing Address - Fax:
Practice Address - Street 1:1200 BROAD ST STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3576
Practice Address - Country:US
Practice Address - Phone:984-777-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)