Organization
CLINICAL COUNSELING AND CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CALDWELL LCSW,LCAS (CEO/OWNER)
(910) 489-9036
Entity
Organization
Contact information
Practice address
2931 BREEZEWOOD AVE STE 200, FAYETTEVILLE, NC 28303-5281
(910) 748-0833
Mailing address
2539 MCARTHUR LANDING CIR APT 102, FAYETTEVILLE, NC 28311-9019
(910) 489-9036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
C010223
NC
251S00000X
Community/Behavioral Health Agency
LCASA-21289
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942744792
—
NC
Enumeration date
12/13/2016
Last updated
08/18/2025
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