Provider Demographics
NPI:1962422881
Name:THE CENTER FOR COUNSELING, P.C.
Entity type:Organization
Organization Name:THE CENTER FOR COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-623-1800
Mailing Address - Street 1:439 W KINGS HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5013
Mailing Address - Country:US
Mailing Address - Phone:336-623-1800
Mailing Address - Fax:336-627-1785
Practice Address - Street 1:439 W KINGS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5013
Practice Address - Country:US
Practice Address - Phone:336-623-1800
Practice Address - Fax:336-627-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3239101YM0800X
NC761106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005661Medicaid
NC012JROtherBCBSNC GROUP NUMBER
NC6005661Medicaid