# EASTERN TRAUMA & RECOVERY COUNSELING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Trauma & Recovery Counseling Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952900615
- **Authorized official:** CHARLOTTE HORTON MOSS LCAS-A; CCTP; CFTP (OWNER/THERAPIST)
- **Authorized official phone:** (252) 903-5594

## Contact information

- **Practice address:** 11814 US 64A, SPRING HOPE, NC 27882-9637
- **Practice address phone:** (252) 903-5594
- **Practice address fax:** (252) 303-0616
- **Mailing address:** 11814 US 64A, SPRING HOPE, NC 27882-9637
- **Mailing address phone:** (252) 903-5594
- **Mailing address fax:** (252) 303-0616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/22/2020