Provider Demographics
NPI:1003827155
Name:HARNETT COUNSELING SERVICES PC
Entity Type:Organization
Organization Name:HARNETT COUNSELING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-814-0909
Mailing Address - Street 1:1186 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-6640
Mailing Address - Country:US
Mailing Address - Phone:910-814-0909
Mailing Address - Fax:910-814-0915
Practice Address - Street 1:1186 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-1921
Practice Address - Country:US
Practice Address - Phone:910-814-0909
Practice Address - Fax:910-814-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2873512Medicare ID - Type Unspecified