Provider Demographics
NPI:1609473230
Name:CHADWICK COUNSELING, PLLC
Entity type:Organization
Organization Name:CHADWICK COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:CHADWICK
Authorized Official - Suffix:III
Authorized Official - Credentials:MS, LCMHC-S, LCAS
Authorized Official - Phone:252-732-8096
Mailing Address - Street 1:105 CHELSEA CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-9001
Mailing Address - Country:US
Mailing Address - Phone:252-732-8096
Mailing Address - Fax:
Practice Address - Street 1:320 SALTER PATH RD STE F
Practice Address - Street 2:
Practice Address - City:PINE KNOLL SHORES
Practice Address - State:NC
Practice Address - Zip Code:28512-6136
Practice Address - Country:US
Practice Address - Phone:336-703-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder