# AN OUT OF THE BOX EXPERIENCE, P.C.

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

## Provider details

- **NPI number:** 1790302487
- **Authorized official:** KENI SANITA CHURCH-HINES LCMHC (OWNER)
- **Authorized official phone:** (984) 222-9272

## Contact information

- **Practice address:** 131 SOUTHERLAND ST, DURHAM, NC 27703-2315
- **Practice address phone:** (984) 222-9272
- **Practice address fax:** (919) 339-3036
- **Mailing address:** 4801 SWANNS MILL DR, DURHAM, NC 27704-1493
- **Mailing address phone:** (984) 222-9272

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 07/07/2021