Healthcare Provider Details

I. General information

NPI: 1295756484
Provider Name (Legal Business Name): 3-C FAMILY SERVICES, .P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COPLEY PARKWAY SUITE 480
MORRISVILLE NC
27560-7423
US

IV. Provider business mailing address

1 COPLEY PARKWAY SUITE 480
MORRISVILLE NC
27560-7423
US

V. Phone/Fax

Practice location:
  • Phone: 919-677-0101
  • Fax: 888-608-9661
Mailing address:
  • Phone: 919-677-0101
  • Fax: 888-608-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3270
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0568
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004670
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number9400344
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1700
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number102679
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1067
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number200100131
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1920
License Number StateNC
# 10
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number2475
License Number StateNC
# 11
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number940034
License Number StateNC

VIII. Authorized Official

Name: JUSTIN PARKER
Title or Position: OWNER/PRESIDENT
Credential: PHD
Phone: 919-677-0101