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Organization
THE VICTORY CENTERS PLLC
Active
Organization
THE VICTORY CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BERNICE WILSON MA LCMHC NCC LCAS (OWNER/LICENSED CLINICIAN)
(910) 964-0075
Entity
Organization
Contact information
Practice address
3274 ROSEHILL RD, FAYETTEVILLE, NC 28301-3005
(910) 964-0075
(910) 335-8034
Mailing address
439 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1532
(910) 964-0075
(910) 335-8034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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