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LIFE MATRIX NC PLLC NPI 1134698509


NPI Information

NPI: 1134698509
Provider Name: LIFE MATRIX NC PLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
100 HAY ST STE 701
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 444-1996
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LIFE MATRIX NC PLLC is a clinical social worker in Fayetteville, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. LIFE MATRIX NC PLLC NPI is 1134698509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HAY ST STE 701
FAYETTEVILLE, NC
ZIP 28301-487
Phone: (910) 444-1996
Fax: (800) 337-1933

The provider's authorized official is Debra M Johnson .
The authorized official title is Clinical Director and has the following contact phone number (910) 797-7354.

The enumeration date for this NPI number is 11/15/2018 and was last updated on 10/3/2023.


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
1171400000XHealth and Wellness CoachNo
21041C0700XSocial WorkerClinicalYes

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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