Organization
CARDINAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GARCIA (QM COORDINATOR)
(910) 864-0187
Entity
Organization
Contact information
Practice address
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303-5510
(910) 867-8889
Mailing address
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303-5510
(910) 867-8889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300391
—
NC
Enumeration date
01/03/2007
Last updated
05/20/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up