# EAGLE EYE COUNSELING & CONSULTING, PLLC

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

## Provider details

- **NPI number:** 1447798640
- **Authorized official:** LILY MUDRY LPC-S, LCAS, CCS (OWNER)
- **Authorized official phone:** (704) 750-1007

## Contact information

- **Practice address:** 1118 SAM NEWELL RD, MATTHEWS, NC 28105-5041
- **Practice address phone:** (704) 750-1007
- **Mailing address:** 1775 APPLE TREE LN, FORT MILL, SC 29715-9100
- **Mailing address phone:** (704) 421-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 7638 | NC | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1717 | NC | — |
| 101YM0800X | Mental Health Counselor | S7638 | NC | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017