| Southeast Counseling Services Llc | |
|
6405 Camden Rd Ste 109 Fayetteville NC 28306-7584 | |
| (910) 835-6653 | |
| (910) 425-0013 |
| Full Name | Southeast Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6405 Camden Rd Ste 109, Fayetteville, North Carolina |
| Authorized Official Name and Position | Wiley Edgar Hughes (PASTORAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 9108356653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Counseling Services Llc 6405 Camden Rd Ste 109 Fayetteville NC 28306-7584 Ph: (910) 835-6653 | Southeast Counseling Services Llc 6405 Camden Rd Ste 109 Fayetteville NC 28306-7584 Ph: (910) 835-6653 |
| NPI Number | 1295216562 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295216562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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