Organization Name: | SERAPHIM CHILDREN'S THERAPY |
NPI Number: | 1679716674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA P MITCHELL (PRESIDENT/OWNER) |
Mailing Address: | 43 Little Piney Mtn Candler |
State: | NC US |
Postal Code: | 287157813 |
Phone Number: | 8284234090 |
Fax Number: | 8286330744 |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6494 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |