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General NPI Number Information
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NPI Number | 1417690991
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Entity Type | Organization
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Legal Business Name | CAROLINA CLINICAL COUNSELING, PLLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 515 N GEORGE ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-2724
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Country | US
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Telephone | 919-584-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 110 LAKE HURST DR
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City | DUDLEY
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State | NC
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Zip | 28333-9324
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Country | US
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Telephone | 919-584-0041
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA-MARIE LAMBUTH
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Credential | MS, LCMHCA
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Telephone | 919-584-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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