# ALDER GROVE COUNSELING COLLABORATIVE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053140541
- **Authorized official:** CHERYL DENINE GOLDBERG MA, LCMHCS, LCAS (CO-OWNER)
- **Authorized official phone:** (336) 391-2803

## Contact information

- **Practice address:** 5939 FRYE BRIDGE RD, CLEMMONS, NC 27012-9600
- **Practice address phone:** (336) 391-2803
- **Mailing address:** 6255 TOWNCENTER DR STE 886, CLEMMONS, NC 27012-9376
- **Mailing address phone:** (336) 391-2803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 07/31/2024