CARDINAL CLINIC L.L.C.
NPI 1700967395
Counselor in Fayetteville, NC

Q: What is Cardinal Clinic L.L.C.'s NPI number?

The NPI number for Cardinal Clinic L.L.C. is 1700967395. It was assigned to this organization in the NPPES registry on October 18, 2006.

Q: What is Cardinal Clinic L.L.C.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since October 18, 2006

1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303(910) 867-8889(910) 487-3061 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cardinal Clinic L.l.c. NPPES

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

CARDINAL CLINIC L.L.C. (NPI 1700967395) is a healthcare organization registered as a counselor in Fayetteville, North Carolina and active in the NPI registry since October 2006. The organization lists Tony Garcia, Qm Coordinator, as its authorized official.

NPPES Registry Identity

NPI1700967395

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameCARDINAL CLINIC L.L.C.

Location Address1540 PURDUE DR STE 200Fayetteville, NC 28303-5510

Mailing Address1540 Purdue Dr Ste 200Fayetteville, NC 28303-5510 · (910) 867-8889 · Fax (910) 487-3061

Phone(910) 867-8889

Fax(910) 487-3061

Organization SubpartNo

Authorized OfficialTony GarciaQm Coordinator · (910) 864-0187

Enumeration DateOctober 18, 2006

Last NPPES UpdateMay 20, 2009

✔ NPI 1700967395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

1540 PURDUE DR STE 200, Fayetteville, NC 28303

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Other Identifiers 3

Medicaid6005134NC

Medicare PIN1634NC

Medicaid6005172NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

THEODORE W. LANE PH.D.

Psychologist (Clinical)