# EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

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

## Provider details

- **NPI number:** 1912061714
- **Authorized official:** MR. RICHARD P EDWARDS (VICE PRESIDENT)
- **Authorized official phone:** (919) 783-8898

## Contact information

- **Practice address:** 1600 WAYNE MEMORIAL DR, SUITE F, GOLDSBORO, NC 27534-2201
- **Practice address phone:** (919) 783-8898
- **Practice address fax:** (919) 782-5486
- **Mailing address:** 5171 GLENWOOD AVERNUE, SUITE 400, RALEIGH, NC 27612-3266
- **Mailing address phone:** (919) 783-8898
- **Mailing address fax:** (919) 782-5486

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/21/2010