Provider Demographics
NPI:1144052382
Name:NIA COUNSELING AND FAMILY SERVICES PLLC
Entity type:Organization
Organization Name:NIA COUNSELING AND FAMILY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KADIJAH
Authorized Official - Middle Name:LANEAK
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-307-5320
Mailing Address - Street 1:5304 RUTLEDGEVILLE LN
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-6687
Mailing Address - Country:US
Mailing Address - Phone:919-244-7797
Mailing Address - Fax:
Practice Address - Street 1:5304 RUTLEDGEVILLE LN
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6687
Practice Address - Country:US
Practice Address - Phone:919-244-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty