Organization
HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANESE D DANIELS (CREDENTIALING SPECIALIST)
(910) 860-7008
Entity
Organization
Contact information
Practice address
41 EDGEWOOD AVE NE, CONCORD, NC 28025-3351
(910) 860-7008
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 860-7008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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