Healthcare Provider Details

I. General information

NPI: 1780590034
Provider Name (Legal Business Name): CELINA OLDS MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 CLIFFDALE RD STE 202
FAYETTEVILLE NC
28314-2834
US

IV. Provider business mailing address

105 E BARRED OWL DR
HAMPSTEAD NC
28443-0500
US

V. Phone/Fax

Practice location:
  • Phone: 910-339-0400
  • Fax: 910-339-0396
Mailing address:
  • Phone: 252-619-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA23346
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: