SOUL RESTORATION COUNSELING SERVICES PLLC (NPI# 1043843790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043843790 |
| Entity Type | Organization |
| Organization Name | SOUL RESTORATION COUNSELING SERVICES PLLC |
| Practice Address |
101 Scott Ct Knightdale NC 27545-9508 |
| Mailing Address |
Po Box 1397 Knightdale NC 27545-1397 |
| Practice Telephone | 9193915128 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | SHAKERIA MCGUIRE (OWNER) |
| Authorized Official Telephone | 9193915128 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
101 SCOTT CT |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-9508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369748 | Tomeka Alexis Bridges | Counselor | 1032 Cannonball Run Apt 207, Knightdale, NC 27545-6648 | 2020-09-03 |
| 1285244210 | Life Changing Counseling, Pllc | Counselor | 449 Cedar Pond Ct, Knightdale, NC 27545-6063 | 2020-08-04 |
| 1811521685 | Sara A Buchenberger | Counselor | 3005 Ashland Grove Dr, Knightdale, NC 27545-5700 | 2020-03-02 |
| 1326685843 | John Raymond Hess | Counselor | 220 Plowlan Ct, Knightdale, NC 27545-7933 | 2019-12-03 |
| 1154894665 | Courtney Bree Evans | Counselor | 7417 Knightdale Blvd Ste 101, Knightdale, NC 27545-8824 | 2019-01-08 |
| 1023594470 | Tender Care Health Services | Counselor | 2433 Ferdinand Dr, Knightdale, NC 27545-7458 | 2018-07-18 |
| 1306211628 | Amanda Jane Hebard | Counselor | 502 Mcknight Dr Ste 200, Knightdale, NC 27545-7050 | 2015-12-11 |
| 1780025239 | Patrice Suzete Banks Rogers | Counselor | 111 Cinder St, Knightdale, NC 27545-6001 | 2013-07-12 |
| 1902246838 | Patrice Nicole Freeman | Counselor | 1113 Rutledge Landing Dr, Knightdale, NC 27545-8155 | 2013-06-25 |
| 1740551514 | Brittney Charissa Williamson | Counselor | 470 Traebert Cir Apt 104, Knightdale, NC 27545-5812 | 2012-01-25 |
| Find all providers in KNIGHTDALE | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
Please comment or provide details below to improve the information on SOUL RESTORATION COUNSELING SERVICES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.