OrganizationActive
4.1.7 Counseling, PLLC
NPI 1104783612 · Mental Health Counselor · Washington, NC
Provider details
- NPI number
- 1104783612
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Tyre, Director(252) 481-1007
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Practice location
417 N Bridge St
Washington, NC 27889-4827
Phone: (252) 481-1007
Approximate (ZIP-level) locationGet directions
Mailing address
3231 Idalia Rd
Aurora, NC 27806-9525
Additional practice locations (2)
- 3231 Idalia RdAurora, NC 27806-9525Phone: (252) 481-1007
- 151 W Main St Apt 202Washington, NC 27889-5266Phone: (252) 481-1007
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.