| Organization Name: | SHORELINE COUNSELING CENTER, PLLC |
| NPI Number: | 1174837652 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNE M HENSCHEL (OWNER/THERAPIST) |
| Mailing Address: | 4002 Executive Park Blvd Suite 600 Southport |
| State: | NC US |
| Postal Code: | 284619069 |
| Phone Number: | 9105409499 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |