MEDICARE: A PLACE FOR US COUNSELING & CONSULTING AGENCY

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	251S00000X	Community/Behavioral Health Agency	8225	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649719329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLACE FOR US COUNSELING & CONSULTING AGENCY

Provider Business Mailing Address
First Line	:	2915 RAEFORD RD STE 100
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5491
Country	:	US
Telephone Number	:	910-850-4845
Fax Number	:	910-377-1503

Provider Business Practice Location Address
First Line	:	2915 RAEFORD RD STE 100
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5491
Country	:	US
Telephone Number	:	910-850-4845
Fax Number	:	910-377-1503

Authorized Official
Title or Position	:	OWNER
Name	:	REGINA WESLEY
Credential	:
Telephone Number	:	910-850-4845

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	03/17/2026

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