Organization
INNER SOURCE THERAPY, PLLC
Active
Other names
Inner Source Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH J ASHWAY LCMHC, LCAS (OWNER)
(252) 658-0565
Entity
Organization
Contact information
Practice address
790 CARDINAL RD, NEW BERN, NC 28562-5202
(252) 658-0565
(252) 636-1100
Mailing address
261 GOOSE CREEK RD, NEW BERN, NC 28562-3667
(252) 658-0565
(252) 643-9332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194134619
MENTAL HEALTH THERAPISTS, LCMHC, LCAS
NC
01
—
1750886826
MENTAL HEALTH THERAPISTS, LCMHC, LCAS
NC
01
—
1770780025
MENTAL HEALTH THERAPISTS, LCMHC
NC
Enumeration date
09/01/2021
Last updated
09/03/2021
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