Waterside Therapy Associates, P.L.L.C.
LBN: Waterside Therapy Associates, P.L.L.C.
Waterside Therapy Associates, P.L.L.C. is an health care organization with primary practice located at 110 Baltimore St , Williamston NC 27892-2462. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Waterside Therapy Associates, P.L.L.C. can be contacted via phone (252) 944-6076, or through Boyette, Rita Carol via phone (252) 944-6076.
Contact Information
Primary practice address
110 Baltimore St
Williamston NC 27892-2462
Phone: (252) 944-6076
Fax: (252) 923-0111
Website:
Authorized official contact:
Name: Boyette, Rita Carol Licensed Clinical Social Worker (LCSW)
Phone: (252) 944-6076
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5036 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C002961 | North Carolina |
Profile Details
| NPI number | 1528091972 |
|---|---|
| LBN Legal business name | Waterside Therapy Associates, P.L.L.C. |
| DBA Doing business as | |
| Authorized official | Boyette, Rita Carol Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Nov 14th, 2011 - about 13 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 | 1528091972 | NPPES |
| North Carolina | Other | 10894 | BCBS |
| North Carolina | MEDICAID | 6003548 | BCBS |
| North Carolina | MEDICAID | 6102939 | BCBS |
| North Carolina | Other | 24392-2143 | BCBS |
| North Carolina | Other | 235086 | BCBS |
| North Carolina | Other | 14144 | BCBS |
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