# JASPER PSYCHOTHERAPY & CO. PC

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

## Provider details

- **NPI number:** 1649160656
- **Authorized official:** SYDNEY JASPER LCMHC, CYMHS (OWNER)
- **Authorized official phone:** (910) 275-4862

## Contact information

- **Practice address:** 5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
- **Practice address phone:** (910) 275-4862
- **Mailing address:** 301 LITTLE LAWSON LN APT 114, CARY, NC 27519-7272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 08/29/2026