Healthcare Provider Details

I. General information

NPI: 1710030523
Provider Name (Legal Business Name): CAROL A. MCCLELLAND MA, LCMHC, LCAS, CCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 MILLSTONE DR
HILLSBOROUGH NC
27278-8776
US

IV. Provider business mailing address

137 HACKBERRY LN
PITTSBORO NC
27312-5854
US

V. Phone/Fax

Practice location:
  • Phone: 984-310-8667
  • Fax:
Mailing address:
  • Phone: 910-890-0030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4242
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number658
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: