| Organization Name: | WAKE FOREST COUNSELING SERVICES, INC. |
| NPI Number: | 1013025873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHIRILL HICKS (PRESIDENT) |
| Mailing Address: | 839c Wake Forest Business Park Ste E Wake Forest |
| State: | NC US |
| Postal Code: | 275877181 |
| Phone Number: | 9195703004 |
| Fax Number: | 9195709225 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |