Mahogany Place Pllc

LBN: Mahogany Place Pllc
Mahogany Place Pllc is an health care organization with primary practice located at 125 Bella Howington Dr , Lillington NC 27546-5666. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mahogany Place Pllc can be contacted via phone (910) 808-1881, or through Gray, Kellisha via phone (910) 808-1881.

Contact Information

Primary practice address
125 Bella Howington Dr Lillington NC 27546-5666
Phone: (910) 808-1881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Kellisha MSW, LCSW
Phone: (910) 808-1881

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1740831981
LBN Legal business name Mahogany Place Pllc
DBA Doing business as
Authorized official Gray, Kellisha MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2019
Last updated Sep 27th, 2019 - about 5 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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