Gonzalez-Burke, Brian
Gonzalez-Burke, Brian is an sole proprietor health care provider with primary practice located at 104 W Firetower Rd , Winterville NC 28590-9475. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gonzalez-Burke, Brian can be contacted via phone (252) 341-1649.Contact Information
Primary practice address
104 W Firetower Rd
Winterville NC 28590-9475
Phone: (252) 341-1649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1040 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5198 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X | 06087 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5198 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | 00090419 | North Carolina |
Profile Details
| NPI number | 1316025711 |
|---|---|
| LBN Legal business name | Gonzalez-Burke, Brian |
| Credentials | LPC, LCAS, CRC, MTBC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316025711 | NPPES |
| North Carolina | Other | 142HR | LPC |
| North Carolina | MEDICAID | 6103146 | LPC |
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