Organization
HAYMOUNT INSTITUTE FOR PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANESE D WILLIAMS (OFFICE MANAGER/CRED SPECIALIST)
(910) 860-7008
Entity
Organization
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305
(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
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950483
—
NC
05
—
6006380
—
NC
Enumeration date
03/13/2008
Last updated
05/24/2019
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