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

Elite Care Service

Organization Addiction (Substance Use Disorder) Counselor · NPI 1417135500

Elite Care Service is an Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
6
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Practice location Address checks out

111 Lamon St Ste 100
Fayetteville, NC 28301-4901
Phone: (910) 483-0324
Fax: (910) 483-2246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Developmental Therapist Taxonomy 222Q00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence MHL-026-857 (NC)

Record details

NPI number1417135500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Frederick — Ceo · (910) 483-0324
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address111 Lamon St Ste 100, Fayetteville, NC 28301-4917

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