Provider Demographics
NPI:1326871526
Name:SYNERGY4YOUTH NC PLLC
Entity type:Organization
Organization Name:SYNERGY4YOUTH NC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUREKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUINOO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:919-358-2339
Mailing Address - Street 1:1312 HOSMER CT
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9433
Mailing Address - Country:US
Mailing Address - Phone:919-358-2339
Mailing Address - Fax:
Practice Address - Street 1:1312 HOSMER CT
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9433
Practice Address - Country:US
Practice Address - Phone:919-358-2339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty