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Clinical Counseling And Consulting Services, Pllc
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, North Carolina
NPI 1942744792

Clinical Counseling And Consulting Services, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, NC and is specialized in Psychiatric/Mental Health. Clinical Counseling And Consulting Services, Pllc practices in Fayetteville, NC. The NPI Number for Clinical Counseling And Consulting Services, Pllc is 1942744792 and holds a License No. (North Carolina).

The current practice location address for Clinical Counseling And Consulting Services, Pllc is 2940 Breezewood Ave, Fayetteville, NC and can be reached out via phone at 910-827-6594 and via fax at 910-827-6592. You can also correspond with Clinical Counseling And Consulting Services, Pllc through the mailing address at 2539 MCARTHUR LANDING CIR APT 102, FAYETTEVILLE, NC - 28311-9019 (mailing address contact number: 910-489-9036).

Location: 2940 Breezewood Ave, Fayetteville, NC, 28311-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942744792
Provider Name
Clinical Counseling And Consulting Services, Pllc
Credential
Provider Entity Type
Organization
Address
2940 Breezewood Ave, Fayetteville, NC, 28311-9019
Phone Number
910-827-6594
Fax Number
910-827-6592
Provider Enumeration Date
12/13/2016
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1942744792 05 NC
institution
Provider Business Practice Location Address Details
Address
2940 Breezewood Ave
City
Fayetteville
State
North Carolina
Zip
28303-5520
Phone Number
910-827-6594
Fax Number
910-827-6592
person
Provider Business Mailing Address Details
Address
2940 Breezewood Ave
City
Fayetteville
State
North Carolina
Zip
28303-5520
Phone Number
910-827-6594
Fax Number
910-827-6592
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCASA-21289 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C010223 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 6
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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