Provider Demographics
NPI:1255225819
Name:PAPER MOON COUNSELING
Entity type:Organization
Organization Name:PAPER MOON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACENER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS
Authorized Official - Phone:828-320-9363
Mailing Address - Street 1:11010 LAKE GROVE BLVD STE 100-232
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7391
Mailing Address - Country:US
Mailing Address - Phone:919-378-0366
Mailing Address - Fax:
Practice Address - Street 1:11010 LAKE GROVE BLVD STE 100-232
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7391
Practice Address - Country:US
Practice Address - Phone:919-378-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health