| NPI | 1669135810 |
|---|---|
| Former Legal Business Name | INCEPTION COUNSELING SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | CHAVIS JERARD DELOATCH Owner 252-532-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |