ASA THERAPEUTIC SERVICES, PLLC
NPI 1366724569
Psychologist in Jacksonville, NC

Active since September 13, 2011
200 VALENCIA DR STE 128, JACKSONVILLE, NC 28546(910) 938-1300(910) 938-2900 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Asa Therapeutic Services, Pllc NPPES

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

ASA THERAPEUTIC SERVICES, PLLC (NPI 1366724569) is a healthcare organization registered as a psychologist in Jacksonville, North Carolina and active in the NPI registry since September 2011. The organization lists Charmaine Dowdell, Executive Manager, as its authorized official.

NPPES Registry Identity

NPI1366724569
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameASA THERAPEUTIC SERVICES, PLLC
Location Address200 VALENCIA DR STE 128Jacksonville, NC 28546-6313
Mailing Address200 Valencia Dr Ste 128Jacksonville, NC 28546-6313 · (910) 938-1300 · Fax (910) 938-2900
Fax(910) 938-2900
Organization SubpartNo
Authorized OfficialCharmaine DowdellExecutive Manager · (910) 938-1300
Enumeration DateSeptember 13, 2011
NPI 1366724569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
200 VALENCIA DR STE 128, Jacksonville, NC 28546

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

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 Asa Therapeutic Services, PLLC's NPI number?

The NPI number for Asa Therapeutic Services, PLLC is 1366724569. It was assigned to this organization in the NPPES registry on September 13, 2011.

Where is Asa Therapeutic Services, PLLC located?

Asa Therapeutic Services, PLLC is located at 200 Valencia Dr Ste 128, Jacksonville, NC 28546. The listed phone number is (910) 938-1300.

What is Asa Therapeutic Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Asa Therapeutic Services, PLLC was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.