Organization
HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES P
Active
Other names
MASON AND ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
ALIDA S MASON LCSW, LPC (OWNER)
(910) 860-7008
Entity
Organization
Contact information
Practice address
103 BRADFORD VILLAGE CT, SOUTHERN PINES, NC 28387-5451
(910) 860-7008
(910) 221-9006
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950482
—
NC
05
—
6006582
—
NC
Enumeration date
10/17/2008
Last updated
09/29/2009
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