OrganizationActive
Academy1
NPI 1396689816 · Mental Health Counselor · Fayetteville, NC
Provider details
- NPI number
- 1396689816
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Karlishia Ross, Educational Specialist(910) 401-8797
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Drama Therapist101200000X
Behavioral Health & Social Service Providers
- School Counselor101YS0200X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Driver172A00000X
Other Service Providers
- Home Health Agency251E00000X
Agencies
Practice location
429 Person St
Fayetteville, NC 28301-5737
Phone: (910) 401-8797
Approximate (ZIP-level) locationGet directions
Mailing address
429 Person St
Fayetteville, NC 28301-5737
Registry dates
- Enumerated
- 2026-04-15
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.