Healthcare Provider Details

I. General information

NPI: 1497660286
Provider Name (Legal Business Name): SUZETTE ALLEYNE LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 OWEN DR
FAYETTEVILLE NC
28304-3425
US

IV. Provider business mailing address

1613 OWEN DR STE B
FAYETTEVILLE NC
28304-3425
US

V. Phone/Fax

Practice location:
  • Phone: 910-491-8934
  • Fax: 910-491-7119
Mailing address:
  • Phone: 910-491-8934
  • Fax: 910-491-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023282
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: