Provider Demographics
NPI:1740159375
Name:STRIPED COUCH COUNSELING, PLLC
Entity type:Organization
Organization Name:STRIPED COUCH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANALISE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-287-7113
Mailing Address - Street 1:224 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-5231
Mailing Address - Country:US
Mailing Address - Phone:336-777-9858
Mailing Address - Fax:336-860-1563
Practice Address - Street 1:224 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5231
Practice Address - Country:US
Practice Address - Phone:336-777-9858
Practice Address - Fax:336-860-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health