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NPI 1295756484

NPI 1295756484 : 3-C FAMILY SERVICES, .P.A : MORRISVILLE, NC

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General NPI Number Information
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    NPI Number           |    1295756484
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    Entity Type          |    Organization 
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    Legal Business Name  |    3-C FAMILY SERVICES, .P.A 
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Dates
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    Enumeration Date     |    07/22/2006
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    1 COPLEY PARKWAY SUITE 480
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-7423
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    Country              |    US
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    Telephone            |    919-677-0101
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    Fax                  |    888-608-9661
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Provider Business Mailing Address
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    Address Line         |    1 COPLEY PARKWAY SUITE 480
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-7423
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    Country              |    US
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    Telephone            |    919-677-0101
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    Fax                  |    888-608-9661
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     JUSTIN  PARKER 
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    Credential           |    PHD
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    Telephone            |    919-677-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    3270
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    0568
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C004670
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    9400344
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    License Number State |    NC
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Taxonomy #5
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1700
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    License Number State |    NC
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Taxonomy #6
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    102679
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    License Number State |    NC
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Taxonomy #7
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    1067
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    License Number State |    NC
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Taxonomy #8
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    200100131
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    License Number State |    NC
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Taxonomy #9
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1920
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    License Number State |    NC
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Taxonomy #10
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    2475
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    License Number State |    NC
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Taxonomy #11
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    940034
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    License Number State |    NC
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