Organization
EAGLE EYE COUNSELING & CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY MUDRY LPC-S, LCAS, CCS (OWNER)
(704) 750-1007
Entity
Organization
Contact information
Practice address
1118 SAM NEWELL RD, MATTHEWS, NC 28105-5041
(704) 750-1007
Mailing address
1775 APPLE TREE LN, FORT MILL, SC 29715-9100
(704) 421-4746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7638
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
1717
NC
101YM0800X
Mental Health Counselor
Primary
S7638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366755282
—
NC
Enumeration date
02/08/2017
Last updated
02/08/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us