Cardinal Clinic L.L.C.

LBN: Cardinal Clinic L.L.C.
Cardinal Clinic L.L.C. is an health care organization with primary practice located at 1540 Purdue Dr Ste 200 , Fayetteville NC 28303-5510. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Cardinal Clinic L.L.C. can be contacted via phone (910) 867-8889, or through Garcia, Tony via phone (910) 864-0187.

Contact Information

Primary practice address
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510
Phone: (910) 867-8889
Fax: (910) 487-3061
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Tony
Phone: (910) 864-0187

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1700967395
LBN Legal business name Cardinal Clinic L.L.C.
DBA Doing business as
Authorized official Garcia, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated May 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700967395 NPPES
North Carolina MEDICAID 6005134
North Carolina MEDICAID 6005172

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