Provider Demographics
NPI:1447012844
Name:DARE TO GROW COUNSELING, PLLC
Entity type:Organization
Organization Name:DARE TO GROW COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ABERNATHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:252-616-0658
Mailing Address - Street 1:101 AIRSTRIP RD # 255
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-8134
Mailing Address - Country:US
Mailing Address - Phone:252-616-0658
Mailing Address - Fax:252-242-8923
Practice Address - Street 1:12 JUNIPER TRL STE 202
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-3745
Practice Address - Country:US
Practice Address - Phone:252-616-0658
Practice Address - Fax:252-242-8923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty