=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649719329
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLACE FOR US COUNSELING & CONSULTING AGENCY, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2017
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2915 RAEFORD RD STE 100
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28303-5491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-850-4845
-----------------------------------------------------
Fax | 910-377-1503
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2915 RAEFORD RD STE 100
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28303-5491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-850-4845
-----------------------------------------------------
Fax | 910-377-1503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REGINA WESLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 910-850-4845
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 8225
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------