Organization
JOHNSTON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MARTIN WOODALL MA, LPC, LCAS (OWNER)
(919) 938-0921
Entity
Organization
Contact information
Practice address
113 N 3RD ST, SMITHFIELD, NC 27577-3939
(919) 938-0921
(919) 938-3807
Mailing address
PO BOX 1835, SMITHFIELD, NC 27577-1835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
632
NC
101YP2500X
Professional Counselor
3041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177C
BCBSNC GROUP
NC
01
—
1165Y
BCBSNC INDIVIDUAL
NC
01
—
186858
MEDCOST
NC
01
—
2076854
CIGNA
NC
01
—
543707000
MAGELLAN
—
01
—
577331
VALUE OPTIONS
—
05
—
6102389
—
NC
Enumeration date
04/24/2007
Last updated
05/20/2014
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