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S. PURCELL COUNSELING PC NPI 1295389062


NPI Information

NPI: 1295389062
Provider Name: S. PURCELL COUNSELING PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1348 WESTGATE CENTER DR STE 205-206
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 404-4352
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S. PURCELL COUNSELING PC is a mental health counselor in Winston Salem, NC. S. PURCELL COUNSELING PC NPI is 1295389062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1348 WESTGATE CENTER DR STE 205-206
WINSTON SALEM, NC
ZIP 27103-984
Phone: (336) 404-4352
Fax: (336) 450-1534

The provider's authorized official is Shonnon Lardell Purcell .
The authorized official title is President and has the following contact phone number (336) 404-4352.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 6/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthYes
4101YP2500XCounselorProfessionalNo
5251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.