ESUPPORT, PLLC (NPI# 1144750563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144750563 |
| Entity Type | Organization |
| Organization Name | ESUPPORT, PLLC |
| Other Organization Name | LIFEOLOGIE COUNSELING RALEIGH |
| Practice Address |
3901 Barrett Dr Ste 100 Raleigh NC 27609-6523 |
| Practice Telephone | 9199007552 |
| Mailing Telephone | 9199007552 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | DR. ELIZABETH A GRADY (OWNER) |
| Authorized Official Telephone | 9199007552 |
| Authorized Official Credential | LCMHCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | S7963 | NC | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lifeologie Counseling Raleigh | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 Piner Road, Suite A - 548, Wilmington, NC 28409 | 9844448913 | |
| 4 Long Shoals Rd Ste B-417, Arden, NC 287045544 | 9844448913 | |
| 8512 Six Forks Rd Ste 103, Raleigh, NC 276153256 | 9197448335 |
| Street Address |
3901 BARRETT DR STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086353 | Angelica Martin Salazar | Counselor | 3901 Barrett Dr Ste 100, Raleigh, NC 27609-6523 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1568098903 | Mona Nour | Counselor | 11428 Royal Amber Way, Raleigh, NC 27614-9896 | 2020-03-17 |
| 1306305578 | Edmund Tayloe Buckman Iv | Counselor | 614 Capital Blvd Apt 213, Raleigh, NC 27603-1157 | 2019-03-18 |
| 1487127403 | Professional Counseling Associates of Cary | Counselor | 2207 Overflow Cir, Raleigh, NC 27610-5359 | 2019-01-03 |
| 1154896611 | Brittany Crystal Smith | Counselor | 6300 Lynn Crest Ln Apt 106, Raleigh, NC 27609-2873 | 2018-10-10 |
| 1942784079 | Maria Mccrimmon | Counselor | 2357 Bay Harbor Dr, Raleigh, NC 27604-4308 | 2018-09-25 |
| 1093220618 | Roxanne Rosenberg | Counselor | 4508 Olde Stream Ct, Raleigh, NC 27612-3641 | 2017-12-05 |
| 1396260089 | Christina Jones Parker | Counselor | 6604 Six Forks Rd Ste 202, Raleigh, NC 27615-6521 | 2017-08-03 |
| 1023532405 | Tykeena Lee Johnson | Counselor | 4210 Evans Dr, Raleigh, NC 27610-6757 | 2017-07-27 |
| 1003365172 | Victoria Baxter | Counselor | 39 Red Ln, Raleigh, NC 27606-1672 | 2016-09-29 |
| Find all providers in RALEIGH | ||||
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| 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.