Spring Lake Counseling Center PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007755 Issued in NC

Legal business name

SPRING LAKE COUNSELING CENTER PLLC

Practice address

100 Person CT
Spring Lake, NC 28390-1685

Phone

(207) 521-1171

Fax

(877) 454-5541

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Anne Malena, LCSW

Title

Owner

Phone

(207) 521-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1851715486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERSON CT",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283901685",
            "telephone_number": "207-521-1171",
            "fax_number": "877-454-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERSON CT",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283901685",
            "telephone_number": "207-521-1171",
            "fax_number": "877-454-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MALENA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-521-1171",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalisa Michelle Smith, ABAT
• Amanda Smothers
• Dominic McRae Snow
• Justine Sommer
• Jaynia Shanise Spraglin
• Spring Lake Counseling Inc.
• Stacie Peterson, Lcmhc, LPC, LLC
• Ny'Asia Maniya Stamps
• Gao Tang Stanley
• Skyley A Stencil

• Clinical Social Worker in Spring Lake, NC
• Providers in Spring Lake, 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 Feb 18, 2014; 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.