Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Our Treatment Center

Organization Mental Health Counselor · NPI 1134424542

Our Treatment Center provides Mental Health Counselor services in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
3

Practice location Address checks out

4909 Waters Edge Dr 104
Raleigh, NC 27606-2462
Phone: (919) 601-1313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7134 (NC)
Mental Health Counselor Taxonomy 101YM0800X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1134424542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasha Holland-Kornegay — Owner · (919) 601-1313
NPI enumeratedJanuary 14, 2011
Last updated in NPPESJuly 11, 2022
Certification dateJune 27, 2022
Mailing address1702 Sheriff Watson Rd, Sanford, NC 27332-6720

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