Cypress Counseling Center, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fayetteville, NC. Organization (NPI-2).
NPI number1497419600
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1497419600
- Entity type
- Organization (NPI-2)
- Legal business name
- Cypress Counseling Center, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2021
- Certification date
- Oct 25, 2021
- Last updated
- May 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
804 Stamper Rd Ste 102Fayetteville, NC 28303-4163
Phone 910-229-3888
Mailing address
804 Stamper Rd Ste 102Fayetteville, NC 28303-4163
Phone 910-229-3888
Authorized official
Crystal Gaynell Depietro
Owner
9105510835
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