Organization · Type 2 NPI

Southern Healthcare Network

Mental Health Counselor · Fayetteville, NC

NPI number 1740658145 Active

Practice location

707 Murchison Rd
Fayetteville, NC 28301-7012

Mailing address

111 Lamon St, 103 C
Fayetteville, NC 28301-7012

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Nutrition Education Nutritionist 133NN1002XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Case Management Agency 251B00000XNone listed

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About NPI 1740658145

Southern Healthcare Network's National Provider Identifier is 1740658145, issued on Sep 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 21, 2015.