# HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023450764
- **Authorized official:** CHANESE D WILLIAMS (OFFICE MANAGER/CRED SPECIALIST)
- **Authorized official phone:** (910) 860-7008

## Contact information

- **Practice address:** 3507 HILL ST, HOPE MILLS, NC 28348
- **Practice address phone:** (910) 339-0901
- **Practice address fax:** (910) 339-0904
- **Mailing address:** 806 HAY ST, FAYETTEVILLE, NC 28305-5312
- **Mailing address phone:** (910) 860-7008
- **Mailing address fax:** (910) 221-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 05/24/2019
