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 is a Mental Health Counselor 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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