Southeast Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOUTHEAST COUNSELING SERVICES LLC

Practice address

6405 Camden Rd Ste 109
Fayetteville, NC 28306-7584

Phone

(910) 835-6653

Fax

(910) 425-0013

NPI assigned

Aug 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wiley Edgar Hughes, LCMHC, PSYDNPI 1326402140

Title

Pastoral Psychotherapist

Phone

(910) 835-6653

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wiley Edgar Hughes, LCMHC, PSY.D., D.MIN

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1326402140
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1295216562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 CAMDEN RD STE 109",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067584",
            "telephone_number": "910-835-6653",
            "fax_number": "910-425-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 CAMDEN RD STE 109",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067584",
            "telephone_number": "910-835-6653",
            "fax_number": "910-425-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Front St Ste 815",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284015089",
            "country_code": "US",
            "telephone_number": "910-835-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "PASTORAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "910-835-6653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMHC, PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.