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

Pine Village Treatment Services, Inc

Organization Mental Health Counselor · NPI 1528232915

Pine Village Treatment Services, Inc is a Mental Health 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
2
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

1206 Hope Mills Rd
Fayetteville, NC 28304-4215
Phone: (910) 864-7004
Fax: (910) 864-3002
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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 MHL-047-096 (NC)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1528232915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Derepentigny — Owner · (910) 864-7004
NPI enumeratedApril 16, 2008
Last updated in NPPESOctober 1, 2008
Mailing address1206 Hope Mills Rd, Fayetteville, NC 28304-4215

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