Organization Name: | TIDELAND MENTAL HEALTH CENTER- PLYMOUTH OFFICE |
NPI Number: | 1427187657 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA MOORE (AREA DIRECTOR) |
Mailing Address: | 716 Washington St Plymouth |
State: | NC US |
Postal Code: | 279622222 |
Phone Number: | 2527931154 |
Fax Number: | 2527933860 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
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 |