Provider Demographics
NPI:1427470301
Name:SANDHILLS COUNSELING ASSOCIATES, PLLC
Entity type:Organization
Organization Name:SANDHILLS COUNSELING ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAUNTEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-916-7881
Mailing Address - Street 1:49 GUILFORD CT
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-7058
Mailing Address - Country:US
Mailing Address - Phone:910-987-6342
Mailing Address - Fax:910-436-2070
Practice Address - Street 1:810 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-2140
Practice Address - Country:US
Practice Address - Phone:910-916-7881
Practice Address - Fax:910-436-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCLPC7412OtherLPC LICENSE