| Carolina Counseling Services | |
|
6321 Raeford Rd Fayetteville NC 28304-2810 | |
| (910) 485-6336 | |
| (888) 972-8390 |
| Full Name | Carolina Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6321 Raeford Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Verna Mae Dority (OWNER) |
| Authorized Official Contact | 9104856336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Counseling Services Po Box 9909 Fayetteville NC 28311-9094 Ph: (910) 485-6336 | Carolina Counseling Services 6321 Raeford Rd Fayetteville NC 28304-2810 Ph: (910) 485-6336 |
| NPI Number | 1396984225 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 6709070527 |
|---|---|
| Medicare Enrollment ID | O20101104001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396984225 | NPI | - | NPPES |
| 6002240 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Verna M Dority |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508942970 PECOS PAC ID: 2769377837 Enrollment ID: I20040218000046 |
| Provider Name | Sherry Horowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659324895 PECOS PAC ID: 5597706812 Enrollment ID: I20050517000933 |
| Provider Name | Sandra M Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184948523 PECOS PAC ID: 2961538913 Enrollment ID: I20100329000785 |
| Provider Name | Laura A Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982928479 PECOS PAC ID: 8325216625 Enrollment ID: I20110712000250 |
| Provider Name | Kristin Baysek Vernon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679834485 PECOS PAC ID: 8729231121 Enrollment ID: I20130116000013 |
| Provider Name | Holly Stewart Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184986549 PECOS PAC ID: 8022238534 Enrollment ID: I20141006000942 |
| Provider Name | Cheryl A Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649555756 PECOS PAC ID: 1153541594 Enrollment ID: I20141006002397 |
| Provider Name | Kimberly K Tran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639463250 PECOS PAC ID: 6204054331 Enrollment ID: I20141201000066 |
| Provider Name | Laura D Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477889863 PECOS PAC ID: 7012234776 Enrollment ID: I20150318001323 |
| Provider Name | Rachel Leigh Macko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356589485 PECOS PAC ID: 5799972527 Enrollment ID: I20151030000025 |
| Provider Name | Gail E Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366572554 PECOS PAC ID: 7113218314 Enrollment ID: I20160617001920 |
| Provider Name | Kanisha Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386052298 PECOS PAC ID: 8123308822 Enrollment ID: I20161215002140 |
| Provider Name | Becky N Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376077255 PECOS PAC ID: 2668740168 Enrollment ID: I20170623001320 |
| Provider Name | Amy Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275922932 PECOS PAC ID: 6608142906 Enrollment ID: I20171031001715 |
| Provider Name | Lauren Terry Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922476274 PECOS PAC ID: 6709132913 Enrollment ID: I20180702000469 |
| Provider Name | Kimberly Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821500430 PECOS PAC ID: 3678983889 Enrollment ID: I20201029000557 |
| Provider Name | Adelina Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245504034 PECOS PAC ID: 4082099221 Enrollment ID: I20220923001570 |
| Provider Name | Ashley Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659945160 PECOS PAC ID: 4688029747 Enrollment ID: I20231009003493 |
| Provider Name | Rose M Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639330582 PECOS PAC ID: 1850743204 Enrollment ID: I20240122001556 |
| Provider Name | Holly Frost |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871925685 PECOS PAC ID: 8527411578 Enrollment ID: I20240126000736 |
| Provider Name | Naja D Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184153686 PECOS PAC ID: 8325481237 Enrollment ID: I20240207004327 |
| Provider Name | Gretchen N Montesanto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174708028 PECOS PAC ID: 5193169654 Enrollment ID: I20240223000394 |
| Provider Name | Yanette Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023606399 PECOS PAC ID: 0143668640 Enrollment ID: I20240403001388 |
| Provider Name | Donita L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033758693 PECOS PAC ID: 8224479498 Enrollment ID: I20240520000093 |
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