Clinicians Of Mecklenburg

LBN: Clinicians Of Mecklenburg
Clinicians Of Mecklenburg is an health care organization with primary practice located at 11 Union St S # Ll207 , Concord NC 28025-5059. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Clinicians Of Mecklenburg can be contacted via phone (919) 672-5005, or through Banks, Dashun via phone (919) 672-5005.

Contact Information

Primary practice address
11 Union St S # Ll207 Concord NC 28025-5059
Phone: (919) 672-5005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banks, Dashun Licensed Professional Counselor (LPC)
Phone: (919) 672-5005

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174099436
LBN Legal business name Clinicians Of Mecklenburg
DBA Doing business as
Authorized official Banks, Dashun Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2018
Last updated Jun 6th, 2022 - about 2 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 1174099436 NPPES
North Carolina MEDICAID 33625

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