# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA

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

## Provider details

- **NPI number:** 1265867857
- **Authorized official:** RICHARD EDWARDS (VP)
- **Authorized official phone:** (919) 798-8780

## Contact information

- **Practice address:** 1012 OBERLIN RD, RALEIGH, NC 27605-1242
- **Practice address phone:** (919) 783-8898
- **Mailing address:** 5171 GLENWOOD AVE, RALEIGH, NC 27612-3266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 01/27/2014