Organization Active NPI

Beautifully Woven Counseling and Consulting, PLLC

Doing business as ManCave Counseling

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1760363303
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEAUTIFULLY WOVEN COUNSELING AND CONSULTING, PLLC
Doing business as
ManCave Counseling
Practice address
351 Wagoner Dr Ste 311
Fayetteville, NC 28303-4700
Phone
(910) 574-3331
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Kishia Jones Williams, LCSWNPI 1538556048
Title
Owner/Lead Therapist
Phone
(910) 494-1583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

351 Wagoner Dr Ste 311
Fayetteville, NC 28303-4700

Mailing address

351 Wagoner Dr Ste 311
Fayetteville, NC 28303-4700
Phone (910) 574-3331

Other practice location 1

1734 Boros Dr
Fayetteville, NC 28303-3081
Phone (910) 574-3331

Other names 1

  • ManCave Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

351 Wagoner Dr
Ste 311
Fayetteville, NC 28303
Phone (910) 510-4799

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1760363303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 311",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034700",
            "telephone_number": "910-574-3331",
            "fax_number": "910-574-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 311",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034700",
            "telephone_number": "910-574-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1734 Boros Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033081",
            "country_code": "US",
            "telephone_number": "910-574-3331",
            "fax_number": "910-494-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUTIFULLY WOVEN COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KISHIA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "910-494-1583",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManCave Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.