Provider Demographics
NPI:1447974886
Name:STONEBRAKER COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:STONEBRAKER COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, STONEBRAKER COUNSELING SERVI
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STONEBRAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, LCMHCA, NCC
Authorized Official - Phone:919-360-4053
Mailing Address - Street 1:1006 SCOTCH PINE WAY
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302
Mailing Address - Country:US
Mailing Address - Phone:910-830-0187
Mailing Address - Fax:919-214-9306
Practice Address - Street 1:1006 SCOTCH PINE WAY
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302
Practice Address - Country:US
Practice Address - Phone:910-830-0187
Practice Address - Fax:919-214-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty