OrganizationActive
Advantage Psychiatry & Counseling
NPI 1508801663 · Group Psychotherapy Psychologist · Leland, NC
Provider details
- NPI number
- 1508801663
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Russell Herring, Ceo
Practice location
1003 Old Waterford Way
Ste 1c
Leland, NC 28451-4102
Phone: (910) 371-1007
Fax: (910) 371-6003
Mailing address
1003 Old Waterford Way
Leland, NC 28451-4102
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.