| Doctor Name: | MS. TAI A KULENIC |
| NPI Number: | 1932188315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPS, LPC, ATR-BC |
| License Number: | 4773 |
| Business Practice Address: | 416 W. Ridge Street Rose Hill, NC - 284580880 |
| Business Phone Number: | 9102892610 |
| Business Fax Number: | 9102894410 |
| Mailing Address: | Po Box 880, 416 W Ridge Street ROSE HILL |
| State: | NC |
| Postal Code: | 284580880 |
| Phone Number: | 9102892610 |
| Fax Number: | 9102894410 |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |