INNER SOURCE THERAPY PLLC NPI 1831867175

NPI Information

  • NPI: 1831867175
  • Provider Name: INNER SOURCE THERAPY, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 790 CARDINAL RD
    NEW BERN, NC
    ZIP 28562
  • Phone: (252) 658-0565

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NPI Details

INNER SOURCE THERAPY, PLLC is a mental health counselor in New Bern, NC. INNER SOURCE THERAPY, PLLC NPI is 1831867175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

790 CARDINAL RD
NEW BERN, NC
ZIP 28562-202
Phone: (252) 658-0565
Fax: (252) 636-1100

The provider's authorized official is Deborah J Ashway .
The authorized official title is Owner and has the following contact phone number (252) 658-0565.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/3/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11194134619OTHERNORTH CAROLINAMENTAL HEALTH THERAPISTS, LCMHC, LCAS
21770780025OTHERNORTH CAROLINAMENTAL HEALTH THERAPISTS, LCMHC
31750886826OTHERNORTH CAROLINAMENTAL HEALTH THERAPISTS, LCMHC, LCAS

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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