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Organization
ELITE ADOLESCENT CARE, INC.
Active
Organization
ELITE ADOLESCENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARSHEEM CHAPMAN (PRESIDENT)
(910) 483-0324
Entity
Organization
Contact information
Practice address
111 LAMON ST, 103, FAYETTEVILLE, NC 28301-4901
(910) 483-0324
Mailing address
111 LAMON ST, 103, FAYETTEVILLE, NC 28301-4901
(910) 483-0324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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