Carolina Outreach, Llc

LBN: Carolina Outreach, Llc
Carolina Outreach, Llc is an health care organization with primary practice located at 2670 Durham Chapel Hill Blvd , Durham NC 27707-2829. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Carolina Outreach, Llc can be contacted via phone (919) 251-9001, or through Brooks, Timothy H via phone (919) 251-9001.

Contact Information

Primary practice address
2670 Durham Chapel Hill Blvd Durham NC 27707-2829
Phone: (919) 251-9001
Fax: (919) 251-9008
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Timothy H Licensed Clinical Social Worker (LCSW)
Phone: (919) 251-9001

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8300219 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6005418 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Community/Behavioral Health 251S00000X 8300219 North Carolina

Profile Details

NPI number 1083723266
LBN Legal business name Carolina Outreach, Llc
DBA Doing business as
Authorized official Brooks, Timothy H Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083723266 NPPES
North Carolina MEDICAID 5904169
North Carolina MEDICAID 8300219
North Carolina MEDICAID 6005418

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