Provider Demographics
NPI:1245946540
Name:PURSUIT OF HEALING COUNSELING AND COACHING, PLLC
Entity type:Organization
Organization Name:PURSUIT OF HEALING COUNSELING AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASMEEN
Authorized Official - Middle Name:ZAKIYAH
Authorized Official - Last Name:OJWANG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:980-313-9132
Mailing Address - Street 1:8163 KENSINGTON DR STE C
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-0102
Mailing Address - Country:US
Mailing Address - Phone:980-313-9132
Mailing Address - Fax:
Practice Address - Street 1:8163 KENSINGTON DR STE C
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-0102
Practice Address - Country:US
Practice Address - Phone:980-313-9132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty