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CAROLINA CHOICE LLC NPI 1700039104


NPI Information

NPI: 1700039104
Provider Name: CAROLINA CHOICE LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5353 RED TIP RD
SUITE 111 & 112
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 485-0330
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CAROLINA CHOICE LLC is a mental health counselor in Fayetteville, NC. CAROLINA CHOICE LLC NPI is 1700039104. The provider is registered as an organization entity type.

The provider's business location address is:

5353 RED TIP RD
SUITE 111 & 112
FAYETTEVILLE, NC
ZIP 28314-255
Phone: (910) 485-0330
Fax: (910) 482-0330

The provider's authorized official is Donna Simon .
The authorized official title is Billing Officer and has the following contact phone number (252) 633-3855.

The enumeration date for this NPI number is 10/29/2008 and was last updated on 9/17/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2101YM0800XCounselorMental HealthYes

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

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