Spring Lake Counseling Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S8649 Issued in NC

Legal business name

SPRING LAKE COUNSELING INC.

Practice address

203 S Main St
Spring Lake, NC 28390-3902

Phone

(910) 339-9375

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Amber Kennedy

Title

Owner

Phone

(812) 223-0596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1962928697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 SATINWOOD CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903902",
            "telephone_number": "910-339-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-223-0596"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S8649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Smothers
• Dominic McRae Snow
• Justine Sommer
• Jaynia Shanise Spraglin
• Spring Lake Counseling Center PLLC
• Stacie Peterson, Lcmhc, LPC, LLC
• Ny'Asia Maniya Stamps
• Gao Tang Stanley
• Skyley A Stencil
• Melissa Steury

• Professional Counselor in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.