Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Village Treatment Services Inc

Organization Mental Health Counselor · NPI 1013182286

Pine Village Treatment Services Inc provides Mental Health Counselor services in Clayton, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 S Lombard St
Clayton, NC 27520-2527 Not confirmed with CMS for 18 years — call before visiting
Phone: (919) 550-7645
Fax: (919) 550-7754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1013182286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Derepentigny — Owner · (910) 864-7004
NPI enumeratedApril 28, 2008
Last updated in NPPESOctober 1, 2008
Mailing address106 S Lombard St, Clayton, NC 27520-2527

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