Organization · NPI-2
Academy1
Counselor, Mental Health · Fayetteville, NC
NPI number1396689816
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1396689816
- Entity type
- Organization (NPI-2)
- Legal business name
- Academy1
- Organization subpart
- No
- Enumeration date
- Apr 15, 2026
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101200000X | Drama Therapist | – | – | |
| 101YS0200X | Counselor, School | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 104100000X | Social Worker | – | – | |
| 172A00000X | Driver | – | – | |
| 251E00000X | Home Health | – | – | |
| 364SS0200X | Clinical Nurse Specialist, School | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
429 Person StFayetteville, NC 28301-5737
Phone 910-401-8797
Mailing address
429 Person StFayetteville, NC 28301-5737
Authorized official
Karlishia Ross
Educational Specialist
9104018797
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