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

Pine Village Treatment Services, Inc

Organization Mental Health Counselor · NPI 1528232915

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

Licensed in
NC
In the registry since
2008
Specialties on file
2
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

1206 Hope Mills Rd
Fayetteville, NC 28304-4215 Not confirmed with CMS for 18 years — call before visiting
Phone: (910) 864-7004
Fax: (910) 864-3002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHL-047-096 (NC)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1528232915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Derepentigny — Owner · (910) 864-7004
NPI enumeratedApril 16, 2008
Last updated in NPPESOctober 1, 2008
Mailing address1206 Hope Mills Rd, Fayetteville, NC 28304-4215

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