Center For Family And Individual Growth, Pa
LBN: Center For Family And Individual Growth, Pa
Center For Family And Individual Growth, Pa is an health care organization with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2157. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Center For Family And Individual Growth, Pa can be contacted via phone (336) 786-7199, or through Garner, Darrell Thomas via phone (336) 786-7199.
Contact Information
Primary practice address
865 W Lake Dr
Mount Airy NC 27030-2157
Phone: (336) 786-7199
Fax: (336) 719-2313
Website:
Authorized official contact:
Name: Garner, Darrell Thomas Licensed Clinical Social Worker (LCSW)
Phone: (336) 786-7199
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001190 | North Carolina |
Profile Details
| NPI number | 1154637585 |
|---|---|
| LBN Legal business name | Center For Family And Individual Growth, Pa |
| DBA Doing business as | |
| Authorized official | Garner, Darrell Thomas Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2010 |
| Last updated | Aug 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154637585 | NPPES |
| North Carolina | Other | 1174Y | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 308914 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 460508 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 2031578 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 6002453 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 6223730 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | B5140 | BLUE CROSS BLUE SHIELD |
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