Macnificent Counseling and Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MACNIFICENT COUNSELING AND THERAPY SERVICES PLLC

Practice address

3011 Town Center Dr Ste 130
Fayetteville, NC 28306-0049

Phone

(919) 937-5248

NPI assigned

Jan 29, 2025

Organization subpart

No

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

Authorized official

Name

Brittney McCallum

Title

Registered Agent

Phone

(919) 937-5248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1518770932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7893 ALLSCOTT WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276121957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 TOWN CENTER DR STE 130",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060049",
            "telephone_number": "919-937-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACNIFICENT COUNSELING AND THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "919-937-5248"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Frederick Machell-Dennis
• Eugene Mack
• Lexandria Mack
• Ashley Mackalica
• Scott Mackenzie Sr., PMHNP
• Anusha Reddy Madadi, MD
• Alexander Madeira, DO
• Erica Madera
• Amanda Theresa Madino, DPT
• Deanna J Madison, LPC, LPA

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.