M & M Of The Carolinas, Inc.

LBN: M & M Of The Carolinas, Inc.
M & M Of The Carolinas, Inc. is an health care organization with primary practice located at 151 Beechwood Farm Rd , Statesville NC 28625-9409. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychoanalysis, Agencies / Case Management. Agencies / Case Management is the primary health care specialty. M & M Of The Carolinas, Inc. can be contacted via phone (704) 832-3760, or through Montgomery, Constance Michelle via phone (704) 832-3760.

Contact Information

Primary practice address
151 Beechwood Farm Rd Statesville NC 28625-9409
Phone: (704) 832-3760
Fax: (704) 500-2043
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Constance Michelle BA, MPA, QP
Phone: (704) 832-3760

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1195 North Carolina
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1332 North Carolina
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1518074293
LBN Legal business name M & M Of The Carolinas, Inc.
DBA Doing business as
Authorized official Montgomery, Constance Michelle BA, MPA, QP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Dec 14th, 2009 - about 15 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 1518074293 NPPES
North Carolina MEDICAID 3409332
North Carolina MEDICAID CR00088P
North Carolina MEDICAID 6006119
North Carolina MEDICAID 8300866G
North Carolina MEDICAID 8301280
North Carolina MEDICAID 8301280B

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