Provider Demographics
NPI:1053797514
Name:COMPREHENSIVE COUNSELING, COACHING & CONSULTING, PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE COUNSELING, COACHING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D, LPCS
Authorized Official - Phone:704-915-2777
Mailing Address - Street 1:253 FRANKLIN CT
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28164-9609
Mailing Address - Country:US
Mailing Address - Phone:704-915-2777
Mailing Address - Fax:
Practice Address - Street 1:253 FRANKLIN CT
Practice Address - Street 2:
Practice Address - City:STANLEY
Practice Address - State:NC
Practice Address - Zip Code:28164-9609
Practice Address - Country:US
Practice Address - Phone:704-915-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5057251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health