Doctor Name: | JUSTIN LLOYD PERRY |
NPI Number: | 1316175201 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, LCAS |
License Number: | 1529 |
Business Practice Address: | 100 Billingsley Road Anuvia Prevention And Recovery Center, Inc. Charlotte, NC - 282111072 |
Business Phone Number: | 7043767447 |
Business Fax Number: | 7043763384 |
Mailing Address: | 100 Billingsley Road, Anuvia Prevention And Recovery Center, Inc. CHARLOTTE |
State: | NC |
Postal Code: | 282111072 |
Phone Number: | 7043767447 |
Fax Number: | 7043763384 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1529 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |