# ESSENTIAL WELLNESS COUNSELING PLLC

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

## Provider details

- **NPI number:** 1740805019
- **Authorized official:** TYEEKIA BLUE LCSW, LCAS (PSYCHOTHERAPIST)
- **Authorized official phone:** (980) 236-1704

## Contact information

- **Practice address:** 4350 MAIN ST STE 213, HARRISBURG, NC 28075-7448
- **Practice address phone:** (980) 236-1704
- **Practice address fax:** (980) 206-0709
- **Mailing address:** 4350 MAIN ST STE 213, HARRISBURG, NC 28075-7448
- **Mailing address phone:** (980) 236-1704
- **Mailing address fax:** (980) 206-0709

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 06/12/2020