ALIDA S MASON LCSW PLLC NPI 1245316173

NPI Information

NPI: 1245316173
Provider Name: ALIDA S MASON LCSW PLLC

Doing Business As: MASON AND ASSOCIATES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
806 STAMPER RD
STE 201
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 221-5269
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ALIDA S MASON LCSW PLLC is an addiction (substance use disorder) counselor in Fayetteville, NC. ALIDA S MASON LCSW PLLC NPI is 1245316173. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mason And Associates.

The provider's business location address is:

806 STAMPER RD
STE 201
FAYETTEVILLE, NC
ZIP 28303-100
Phone: (910) 221-5269
Fax: (910) 221-9006

The provider's authorized official is Ann Lucinda Lee .
The authorized official title is Office Manager and has the following contact phone number (910) 221-5269.

The enumeration date for this NPI number is 10/31/2006 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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	243	NORTH CAROLINA	Yes
2	101YM0800X	Counselor	Mental Health	5199	NORTH CAROLINA	X
3	103T00000X	Psychologist		1347	NORTH CAROLINA	X
4	103T00000X	Psychologist		3183	NORTH CAROLINA	X
5	1041C0700X	Social Worker	Clinical	1738	NORTH CAROLINA	X
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	36397	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005862	MEDICAID	NORTH CAROLINA

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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