Provider Demographics
NPI:1699243626
Name:K.H.MCLEAN, COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:K.H.MCLEAN, COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KOZMA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-QS, LCAS-A
Authorized Official - Phone:910-610-9151
Mailing Address - Street 1:15001 BLUE WOODS RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-9291
Mailing Address - Country:US
Mailing Address - Phone:910-610-9151
Mailing Address - Fax:888-734-8599
Practice Address - Street 1:1224 BIGGS ST STE 7
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5012
Practice Address - Country:US
Practice Address - Phone:910-610-9151
Practice Address - Fax:888-734-8599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:K.H.MCLEAN, COUNSELING SERVICES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1619379856Medicaid
SCPC1887Medicaid