Provider Demographics
NPI:1588153621
Name:VELEZ, EFCEL AARON (LCMHC)
Entity type:Individual
Prefix:MR
First Name:EFCEL
Middle Name:AARON
Last Name:VELEZ
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W RAINTREE LN
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-7362
Mailing Address - Country:US
Mailing Address - Phone:605-415-5311
Mailing Address - Fax:
Practice Address - Street 1:2906 HULL RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-8238
Practice Address - Country:US
Practice Address - Phone:252-582-0504
Practice Address - Fax:252-351-0343
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005981101YM0800X
NCA12606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health