Provider Demographics
NPI:1134515778
Name:PAYNE, ARTHUR ELLIOTT (CCS, LCAS)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:ELLIOTT
Last Name:PAYNE
Suffix:
Gender:M
Credentials:CCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4119 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2153
Mailing Address - Country:US
Mailing Address - Phone:919-294-9621
Mailing Address - Fax:919-294-9794
Practice Address - Street 1:4119 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2153
Practice Address - Country:US
Practice Address - Phone:919-294-9621
Practice Address - Fax:919-294-9794
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS 20121101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)