Provider Demographics
NPI:1578397899
Name:MAKENNA EVERS COUNSELING, PLLC
Entity type:Organization
Organization Name:MAKENNA EVERS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAKENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHCA, NCC
Authorized Official - Phone:252-573-9235
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-0074
Mailing Address - Country:US
Mailing Address - Phone:252-573-9235
Mailing Address - Fax:
Practice Address - Street 1:119 W WOOD HILL DR STE 6
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8700
Practice Address - Country:US
Practice Address - Phone:252-573-9235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty