Organization
ASPIRE SUPPORTIVE & COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ANTHONY COUSAR BA, QP (OWNER)
(919) 210-3774
Entity
Organization
Contact information
Practice address
117 PENNSYLVANIA AVENUE, FAYETTEVILLE, NC 28301-3415
(919) 835-1888
(919) 835-1889
Mailing address
117 PENNSYLVANIA AVENUE, FAYETTEVILLE, NC 28301-3415
(919) 835-1888
(919) 835-1889
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
08/07/2023
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