Provider Demographics
NPI:1942067822
Name:OAKTREE COUNSELING NC, PLLC
Entity type:Organization
Organization Name:OAKTREE COUNSELING NC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS-GILMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:574-527-8731
Mailing Address - Street 1:1145 EXECUTIVE CIR STE A
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4586
Mailing Address - Country:US
Mailing Address - Phone:574-527-8731
Mailing Address - Fax:
Practice Address - Street 1:1145 EXECUTIVE CIR STE A
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4586
Practice Address - Country:US
Practice Address - Phone:574-527-8731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health