Advantage Psychiatry & Counseling
Organization Active NPI Group Psychotherapy Psychologist · Leland, NC
NPI 1508801663 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508801663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Group Psychotherapy Psychologist 103TP2701X
- Legal business name
- ADVANTAGE PSYCHIATRY & COUNSELING
- Practice address
- 1003 Old Waterford Way
Ste 1C
Leland, NC 28451-4102 - Phone
- (910) 371-1007
- Fax
- (910) 371-6003
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Russell Herring
- Title
- Ceo
- Phone
- (910) 371-1007
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist |
103TP2701X | Yes |
Addresses
Primary practice location
1003 Old Waterford Way
Ste 1C
Leland, NC 28451-4102
Mailing address
1003 Old Waterford Way
Ste 1C
Leland, NC 28451-4102
Phone (910) 371-1007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139H9 | Other | NC | BCBS GROUP |
| 141MV | Other | NC | BCBS GROUP |
| 6005840 | Medicaid | NC | |
| 5900767 | Medicaid | NC |
Other providers in Leland, NC
- Access NC
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- Cori Adams
- James Adams
- Adult Day Services Inc
- Jessica E Aiken
- Kira Mark Alatar
- Felicia Allen
- Amedisys North Carolina, L.L.C.
- Natasha Anderson
All providers in Leland, NC · Group Psychotherapy Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.