Provider Demographics
NPI:1598429128
Name:UNITED COUNSELING AND THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:UNITED COUNSELING AND THERAPEUTIC SERVICES LLC
Other - Org Name:UNITY HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:910-864-1799
Mailing Address - Street 1:PO BOX 48714
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28331-8714
Mailing Address - Country:US
Mailing Address - Phone:910-864-1799
Mailing Address - Fax:
Practice Address - Street 1:2565 RAVENHILL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-9614
Practice Address - Country:US
Practice Address - Phone:910-864-1799
Practice Address - Fax:910-864-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty