# INSIDE OUT COUNSELING SERVICES, LLC

> 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:** 1760853410
- **Authorized official:** NICOLE ELLEN LPC, LCAS (OWNER/PROVIDER)
- **Authorized official phone:** (910) 754-7377

## Contact information

- **Practice address:** 632 VILLAGE RD SW STE 2, SHALLOTTE, NC 28470-3434
- **Practice address phone:** (910) 754-7377
- **Practice address fax:** (910) 754-7378
- **Mailing address:** PO BOX 2352, SHALLOTTE, NC 28459-2352
- **Mailing address phone:** (910) 754-7377
- **Mailing address fax:** (910) 754-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 10093 | NC | Yes |
| 251S00000X | Community/Behavioral Health Agency | LCAS 3399 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | LPC 10093 | NC | — |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 06/01/2016