Healthcare Provider Details

I. General information

NPI: 1104337625
Provider Name (Legal Business Name): ALL-AMERICAN COUNSELING WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 RAMSEY ST
FAYETTEVILLE NC
28311-1423
US

IV. Provider business mailing address

5619 RAMSEY ST
FAYETTEVILLE NC
28311-1423
US

V. Phone/Fax

Practice location:
  • Phone: 910-489-1405
  • Fax:
Mailing address:
  • Phone: 910-489-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. BOBETTE N SMITH
Title or Position: OWNER
Credential: LCSW
Phone: 910-489-1405