Tideland Mental Health Center- Williamston Office
LBN: Tideland Mental Health Center- Williamston Office
Tideland Mental Health Center- Williamston Office is an health care organization with primary practice located at 210 W Liberty St , Williamston NC 27892-1712. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty.
Tideland Mental Health Center- Williamston Office can be contacted via phone (252) 792-5151, or through Moore, Barbara via phone (252) 946-8061.
Contact Information
Primary practice address
210 W Liberty St
Williamston NC 27892-1712
Phone: (252) 792-5151
Fax: (252) 792-0802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1518096726 |
|---|---|
| LBN Legal business name | Tideland Mental Health Center- Williamston Office |
| DBA Doing business as | |
| Authorized official | Moore, Barbara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1518096726 | NPPES |
| North Carolina | MEDICAID | 8301500 |
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