# INNER SOURCE THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inner Source Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831867175
- **Authorized official:** MS. DEBORAH J ASHWAY LCMHC, LCAS (OWNER)
- **Authorized official phone:** (252) 658-0565

## Contact information

- **Practice address:** 790 CARDINAL RD, NEW BERN, NC 28562-5202
- **Practice address phone:** (252) 658-0565
- **Practice address fax:** (252) 636-1100
- **Mailing address:** 261 GOOSE CREEK RD, NEW BERN, NC 28562-3667
- **Mailing address phone:** (252) 658-0565
- **Mailing address fax:** (252) 643-9332

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/03/2021