CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC


Address: 111 Lamon St Ste 215, Fayetteville, NC 28301-4957
Phone: 9104899036

CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC (NPI# 1942744792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942744792
Entity Type Organization
Organization Name CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC
Practice Address 111 Lamon St Ste 215
Fayetteville
NC 28301-4957
Mailing Address 2539 Mcarthur Landing Cir Apt 102
Fayetteville
NC 28311-9019
Practice Telephone 9104899036
Mailing Telephone 9104899036
Enumeration Date 2016-12-13
Last Update Date 2017-01-03
Authorized Official Name ELIZABETH CALDWELL (CEO/OWNER)
Authorized Official Telephone 9104899036
Authorized Official Credential LCSW,LCASA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health LCASA-21289 NC Agencies
Y 251S00000X Community/Behavioral Health C010223 NC Agencies

Office Location

Street Address 111 LAMON ST STE 215
City FAYETTEVILLE
State NC
Zip Code 28301-4957

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726219 Jenna Michelle Odneal Behavior Technician 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 2020-10-02
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1487205951 Martha K Richardson Technician 720 Teachers Dr, Fayetteville, NC 28301 2019-09-25
1013568161 Angela Rena Locklear Counselor 211 Lamon St, Fayeteville, NC 28301 2019-09-20
1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
1912461815 Catherine Stevenson Nwogalanya Community Health Worker 1103 Hillsboro St., Fayetteville, NC 28301 2019-01-24
1811443187 Michael Carroll Counselor 308 Peterson Place, Fayetteville, NC 28301 2016-08-28
1023499886 Latifa Fedai Nurse Practitioner 380 Person Street, Fayettevill, NC 28301 2015-06-17
1265868939 Aci Support Specialists Community/Behavioral Health 1725 Venna Drive, Fayetteville, NC 28301 2013-09-25
1871929547 Aci Support Specialists Day Training, Developmentally Disabled Services 2820 Copenhagen Drive, Fayetteville, NC 28301 2013-09-25
Find all providers in zip 28301

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528696796 Faith Springs Eternal (fase), Pllc Community/Behavioral Health 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 2020-04-01
1134684392 Carolina Outreach, LLC Community/Behavioral Health 324 Person St, Fayetteville, NC 28301-5736 2019-02-01
1124591094 Changing Places Therapeutic Center, Company Community/Behavioral Health 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 2019-01-03
1538632518 Benevolent Counseling, Pllc Community/Behavioral Health 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 2019-01-02
1386128031 Alexander Youth Network Community/Behavioral Health 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 2018-09-19
1811497639 Alexander Youth Network Community/Behavioral Health 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 2018-02-19
1629578851 Jeanette Bostick Community/Behavioral Health 1628 Turkey Run, Fayetteville, NC 28312-7643 2018-02-14
1942718325 A Mother's Pursuit, LLC Community/Behavioral Health 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 2018-01-18
1992213771 Deborah A Atkinson Phd Pllc Community/Behavioral Health 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 2018-01-16
1841739455 Aci Support Specialists Community/Behavioral Health 414 Snowhill Rd, Fayetteville, NC 28306-9073 2017-02-15
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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