Organization
CAROLINA PSYCHOLOGICAL AND PSYCHIATRIC HEALTH SRVS, PA
Active
Other names
Carolina Psychological Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LUPIN (CEO)
(704) 247-6896
Entity
Organization
Contact information
Practice address
1703 COUNTRY CLUB RD STE 204, JACKSONVILLE, NC 28546-6098
(910) 347-3010
(910) 347-6137
Mailing address
1703 COUNTRY CLUB RD STE 204, JACKSONVILLE, NC 28546-6006
(910) 347-3010
(910) 347-3201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296J
BC/BS
NC
05
—
6005337
—
NC
05
—
890296J
—
NC
Enumeration date
01/05/2006
Last updated
03/24/2026
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