Provider Demographics
NPI:1972170843
Name:STONE & IVY RELATIONSHIP COUNSELING, PLLC
Entity type:Organization
Organization Name:STONE & IVY RELATIONSHIP COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:919-873-4323
Mailing Address - Street 1:150 PROVIDENCE RD STE 100D
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2208
Mailing Address - Country:US
Mailing Address - Phone:919-873-4323
Mailing Address - Fax:919-646-9589
Practice Address - Street 1:150 PROVIDENCE RD STE 100D
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2208
Practice Address - Country:US
Practice Address - Phone:919-873-4323
Practice Address - Fax:919-646-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty