# EPIPHANY MENTAL HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1225433329
- **Authorized official:** MS. DIANNE F WILLIAMS MA.,LPC (OWNER)
- **Authorized official phone:** (252) 985-0078

## Contact information

- **Practice address:** 916 BRANCH ST, ROCKY MOUNT, NC 27801-5708
- **Practice address phone:** (252) 985-0078
- **Practice address fax:** (252) 641-0710
- **Mailing address:** 916 BRANCH ST, ROCKY MOUNT, NC 27801-5708
- **Mailing address phone:** (252) 985-0078
- **Mailing address fax:** (252) 641-0710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 5054 | NC | Yes |

## Other

- **Enumeration date:** 10/31/2014
- **Last updated:** 10/31/2014