Carolina Psychological Health Services

LBN: Carolina Psychological And Psychiatric Health Srvs, Pa
Carolina Psychological Health Services is an health care organization with primary practice located at 1703 Country Club Rd Ste 204 , Jacksonville NC 28546-6098. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Carolina Psychological And Psychiatric Health Srvs, Pa can be contacted via phone (910) 347-3010, or through Ewing, Victoria J via phone (910) 347-3010.

Contact Information

Primary practice address
1703 Country Club Rd Ste 204 Jacksonville NC 28546-6098
Phone: (910) 347-3010
Fax: (910) 347-6137
Website:
Map and Directions
Authorized official contact:
Name: Ewing, Victoria J
Phone: (910) 347-3010

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1770561193
LBN Legal business name Carolina Psychological And Psychiatric Health Srvs, Pa
DBA Doing business as Carolina Psychological Health Services
Authorized official Ewing, Victoria J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2006
Last updated May 28th, 2023 - about last year

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 1770561193 NPPES
North Carolina Other 0296J BC/BS
North Carolina MEDICAID 6005337 BC/BS
North Carolina MEDICAID 890296J BC/BS

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