CLINICAL SERVICES ASSOCIATES LLC NPI 1134320427

NPI Information

NPI: 1134320427
Provider Name: CLINICAL SERVICES ASSOCIATES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
111 LAMON ST STE 212
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 429-2222
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CLINICAL SERVICES ASSOCIATES, LLC is a mental health counselor in Fayetteville, NC. CLINICAL SERVICES ASSOCIATES, LLC NPI is 1134320427. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 LAMON ST STE 212
FAYETTEVILLE, NC
ZIP 28301-957
Phone: (910) 429-2222

The provider's authorized official is Doris Ann Moore-russell .
The authorized official title is Partner and has the following contact phone number (910) 429-2222.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C004369	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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