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PINE VILLAGE TREATMENT SERVICES
NPI 1962517144
Community/Behavioral Health in Fayetteville, NC

Active since August 20, 2006
1206 HOPE MILLS RD, FAYETTEVILLE, NC 28304(910) 864-7004(910) 864-3002 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Village Treatment Services NPPES

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

PINE VILLAGE TREATMENT SERVICES (NPI 1962517144) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since August 2006. The organization lists Chris A Derepentigny, Owner, as its authorized official.

NPPES Registry Identity

NPI1962517144
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePINE VILLAGE TREATMENT SERVICES
Location Address1206 HOPE MILLS RDFayetteville, NC 28304-4215
Mailing Address1206 Hope Mills RdFayetteville, NC 28304-4215 · (910) 864-7004 · Fax (910) 864-3002
Phone(910) 864-7004
Fax(910) 864-3002
Organization SubpartNo
Authorized OfficialChris A DerepentignyOwner · (910) 864-7004
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 1, 2008
✔ NPI 1962517144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-047-096
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1206 HOPE MILLS RD, Fayetteville, NC 28304
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Other Identifiers 1

Medicaid8301247NC

Other Providers at the Same Location NPPES 10

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

JEAN OLEXEY LMBT
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766
TOWANIA CALDWELL LCMHC
Counselor (Mental Health)
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766
KIMBERLIE MAIR LMBT
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 412-9565
DANIELLE ROBINSON LMBT
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766
CHRISTINE WILSON-EVANS LBMT
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766
PINE VILLAGE TREATMENT SERVICES, INC.
Counselor (Mental Health)
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 864-7004
MIQUETA CARTER LBMT
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766
UNITY WELLNESS, LLC
Massage Therapist
1206 HOPE MILLS RD
FAYETTEVILLE, NC 28304
Cumberland County (910) 275-5766

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 Pine Village Treatment Services's NPI number?

The NPI number for Pine Village Treatment Services is 1962517144. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Pine Village Treatment Services located?

Pine Village Treatment Services is located at 1206 Hope Mills Rd, Fayetteville, NC 28304. The listed phone number is (910) 864-7004.

What is Pine Village Treatment Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pine Village Treatment Services was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.