BLU JAAE COUNSELING SERVICES NPI 1316765480

NPI Information

  • NPI: 1316765480
  • Provider Name: BLU JAAE COUNSELING SERVICES
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 615 SAINT GEORGE SQUARE CT
    STE 300
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (252) 518-5223

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NPI Details

BLU JAAE COUNSELING SERVICES is a professional counselor in Winston Salem, NC. BLU JAAE COUNSELING SERVICES NPI is 1316765480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 SAINT GEORGE SQUARE CT
STE 300
WINSTON SALEM, NC
ZIP 27103-368
Phone: (252) 518-5223

The provider's authorized official is Ebonee Pertrice Edwards .
The authorized official title is Owner/lead Therapist and has the following contact phone number (252) 518-5223.

The enumeration date for this NPI number is 9/28/2024 and was last updated on 9/28/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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