Organization
HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANESE D WILLIAMS (CREDENTIALING SPECIALIST)
(910) 860-7008
Entity
Organization
Contact information
Practice address
996 HELEN ST, FAYETTEVILLE, NC 28303-3069
(910) 860-7008
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/04/2019
Last updated
04/08/2019
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