SOUTHEAST COUNSELING SERVICES LLC (NPI# 1295216562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295216562 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COUNSELING SERVICES LLC |
| Practice Address |
6405 Camden Rd Ste 109 Fayetteville NC 28306-7584 |
| Practice Telephone | 9108356653 |
| Practice Fax Number | 9104250013 |
| Mailing Telephone | 9108356653 |
| Mailing Fax Number | 9104250013 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | DR. WILEY EDGAR HUGHES (PASTORAL PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9108356653 |
| Authorized Official Credential | LCMHC, PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 N Front St Ste 815, Wilmington, NC 284015089 | 9108356653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396025938 | Southeast Counseling Services LLC | Clinic/Center | 301 Tuckers Ln, Hingham, MA 02043-1515 | 2011-08-26 |
| Street Address |
6405 CAMDEN RD STE 109 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28306-7584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1245708213 | Catherine H Cox | Speech-Language Pathologist | Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 | 2018-11-08 |
| 1720446776 | Wal-mart Store East, Lp | Technician/Technologist | 2820 Gillespie St., Fayetteville, NC 28306 | 2016-02-05 |
| 1720460017 | Sridhar Gottipati | Pharmacist | 10072 Southern Ave., Fayetteville, NC 28306 | 2015-06-23 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1649696204 | Kathryn Dries | Nurse Practitioner | 7496 Rockfish Road, Fayetteville, NC 28306 | 2014-03-06 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1184928848 | Hanora Medical Center, Pllc | Internal Medicine | 2620 Owen Dr, Fayetteville, NC 28306 | 2011-01-10 |
| Find all providers in zip 28306 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082341 | Serene Concepts PC | Clinic/Center | 500 Lanier Ave W Ste 801g, Fayetteville, GA 30214-7642 | 2019-09-19 |
| 1649828971 | Matters of The Mind | Clinic/Center | 1925 Nuthatch Rd, Fayetteville, NC 28304-4766 | 2019-08-29 |
| 1013251156 | New Day Behavioral Health Center, PC | Clinic/Center | 2139 Valleygate Dr Ste 203, Fayetteville, NC 28304-3666 | 2012-11-15 |
| 1477781300 | Acheving Excellence | Clinic/Center | 1226 Ramsey St, Fayetteville, NC 28301-4402 | 2009-06-30 |
| 1114116944 | Carolina Psychiatry, P.C. | Clinic/Center | 548 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-10-17 |
| 1588618292 | Washington Regional Medical System | Clinic/Center | 3211 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-19 |
| 1831727890 | Aurora Rehabilitation Clinic Pa | Clinic/Center | 509 E Millsap Rd Ste 109, Fayetteville, AR 72703-4862 | 2020-03-27 |
| 1942778691 | New View Behavioral Health Services Pllc | Clinic/Center | 111 Lamon St Ste 222, Fayetteville, NC 28301-4957 | 2018-11-10 |
| 1902306269 | Holos Consulting, LLC | Clinic/Center | 230 W Center St, Fayetteville, AR 72701-5934 | 2018-02-13 |
| 1053851865 | Thrive Addictions Services | Clinic/Center | 1611b Owen Dr, Fayetteville, NC 28304-3425 | 2017-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28306 |
Please comment or provide details below to improve the information on SOUTHEAST COUNSELING SERVICES LLC.
| 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.