MEDICARE: 3-C FAMILY SERVICES, .P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	3270	NC
2	103TC0700X	Clinical Psychologist	0568	NC
3	1041C0700X	Clinical Social Worker	C004670	NC
4	2084P0804X	Child & Adolescent Psychiatry Physician	9400344	NC
5	103TC0700X	Clinical Psychologist	1700	NC
6	103TS0200X	School Psychologist	102679	NC
7	106H00000X	Marriage & Family Therapist	1067	NC
8	2084P0800X	Psychiatry Physician	200100131	NC
9	103TC0700X	Clinical Psychologist	1920	NC
10	103TS0200X	School Psychologist	2475	NC
11	2084P0804X	Child & Adolescent Psychiatry Physician	940034	NC

General Provider Information

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

Provider Business Mailing Address
First Line	:	1 COPLEY PARKWAY
Second Line	:	SUITE 480
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7423
Country	:	US
Telephone Number	:	919-677-0101
Fax Number	:	888-608-9661

Provider Business Practice Location Address
First Line	:	1 COPLEY PARKWAY
Second Line	:	SUITE 480
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7423
Country	:	US
Telephone Number	:	919-677-0101
Fax Number	:	888-608-9661

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JUSTIN PARKER
Credential	:	PHD
Telephone Number	:	919-677-0101

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	12/16/2025

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