# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528360682
- **Authorized official:** NASHEBA KEY-ALLRED (CONTRACT SPECIALIST)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 101 N MAIN ST, LOUISBURG, NC 27549-2570
- **Practice address phone:** (919) 340-0437
- **Practice address fax:** (919) 340-0452
- **Mailing address:** 5171 GLENWOOD AVE, SUITE 211, RALEIGH, NC 27612-3266
- **Mailing address phone:** (919) 783-8898
- **Mailing address fax:** (919) 782-5486

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 04/24/2017