CLINICAL SERVICES ASSOCIATES, LLC
NPI 1134320427
Counselor - Mental Health in Fayetteville, NC

Q: What is Clinical Services Associates, LLC's NPI number?

The NPI number for Clinical Services Associates, LLC is 1134320427. It was assigned to this organization in the NPPES registry on May 31, 2007.

Q: What is Clinical Services Associates, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since May 31, 2007

111 LAMON ST STE 212, FAYETTEVILLE, NC 28301(910) 429-2222 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clinical Services Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICAL SERVICES ASSOCIATES, LLC (NPI 1134320427) is a healthcare organization registered as a mental health in Fayetteville, North Carolina and active in the NPI registry since May 2007. The organization lists Doris Ann Moore-russell, Partner, as its authorized official.

NPPES Registry Identity

NPI1134320427

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCLINICAL SERVICES ASSOCIATES, LLC

Location Address111 LAMON ST STE 212Fayetteville, NC 28301-4957

Mailing Address111 Lamon St Ste 212Fayetteville, NC 28301-4957

Phone(910) 429-2222

Organization SubpartNo

Authorized OfficialDoris Ann Moore-russellPartner · (910) 429-2222

Enumeration DateMay 31, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1134320427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · C004369

111 LAMON ST STE 212, Fayetteville, NC 28301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATRINA ANN WATFORD GAMBLE MA,NCC,LPC

Counselor

111 LAMON ST STE 212
FAYETTEVILLE, NC 28301

Cumberland County (910) 429-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinical Services Associates, LLC's NPI number?

The NPI number for Clinical Services Associates, LLC is 1134320427. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Clinical Services Associates, LLC located?

Clinical Services Associates, LLC is located at 111 Lamon St Ste 212, Fayetteville, NC 28301. The listed phone number is (910) 429-2222.

What is Clinical Services Associates, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Clinical Services Associates, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.