MEDICARE: MULTIPLE VICTORIES COUNSELING AND CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1700747268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTIPLE VICTORIES COUNSELING AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	3771 RAMSEY ST STE 109 PMB 102
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-7616
Country	:	US
Telephone Number	:	910-502-3049
Fax Number	:

Provider Business Practice Location Address
First Line	:	5212 ROCKINGHAM RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-1348
Country	:	US
Telephone Number	:	910-502-3049
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	DOREATHA MCCOY
Credential	:	MSW, LCSW-A, LCAS-A
Telephone Number	:	910-502-3049

Provider Enumeration Date	:	11/22/2025
Last Update Date	:	12/08/2025

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