Provider Demographics
NPI:1962080325
Name:HARROLD COUNSELING AND WELLNESS, PLLC
Entity type:Organization
Organization Name:HARROLD COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARROLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-816-1987
Mailing Address - Street 1:1524 JONESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6620
Mailing Address - Country:US
Mailing Address - Phone:336-816-1987
Mailing Address - Fax:
Practice Address - Street 1:8005 N POINT BLVD STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3267
Practice Address - Country:US
Practice Address - Phone:336-816-1987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty