Provider Demographics
NPI:1326866328
Name:VAUGHN ACRES COUNSELING PLLC
Entity type:Organization
Organization Name:VAUGHN ACRES COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-297-6897
Mailing Address - Street 1:3708 SONDEY RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE HAYNE
Mailing Address - State:NC
Mailing Address - Zip Code:28429-6425
Mailing Address - Country:US
Mailing Address - Phone:910-297-6897
Mailing Address - Fax:910-851-2667
Practice Address - Street 1:3708 SONDEY RD
Practice Address - Street 2:
Practice Address - City:CASTLE HAYNE
Practice Address - State:NC
Practice Address - Zip Code:28429-6425
Practice Address - Country:US
Practice Address - Phone:910-297-6897
Practice Address - Fax:910-851-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)