Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Services Associates, LLC

Organization Mental Health Counselor · NPI 1134320427

Clinical Services Associates, LLC is a Mental Health Counselor in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Lamon St Ste 212
Fayetteville, NC 28301-4957
Phone: (910) 429-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C004369 (NC)

Record details

NPI number1134320427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doris Moore-Russell — Partner · (910) 429-2222
NPI enumeratedMay 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address111 Lamon St Ste 212, Fayetteville, NC 28301-4957

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