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

Pine Village Treatment Services Inc

Organization Mental Health Counselor · NPI 1013182286

Pine Village Treatment Services Inc is a Mental Health Counselor in Clayton, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 S Lombard St
Clayton, NC 27520-2527
Phone: (919) 550-7645
Fax: (919) 550-7754
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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

Record details

NPI number1013182286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Derepentigny — Owner · (910) 864-7004
NPI enumeratedApril 28, 2008
Last updated in NPPESOctober 1, 2008
Mailing address106 S Lombard St, Clayton, NC 27520-2527

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