# INNER BANKS COUNSELING INC.

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

## Provider details

- **NPI number:** 1710503784
- **Authorized official:** MRS. MELANIE EBORN TYNDALL MSW LCSW (OWNER)
- **Authorized official phone:** (252) 402-0234

## Contact information

- **Practice address:** 305 PINE LN, WASHINGTON, NC 27889-9674
- **Practice address phone:** (252) 402-0234
- **Mailing address:** 305 PINE LN, WASHINGTON, NC 27889-9674
- **Mailing address phone:** (252) 402-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 11/03/2020