Triad Behavioral Resources Pc in Wilmington - Mental Health
Triad Behavioral Resources Pc - NPI 1336292556
Triad Behavioral Resources Pc is a Mental Health in Wilmington, North Carolina. Triad Behavioral Resources Pc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Triad Behavioral Resources Pc is 1336292556. The last update date is 2023-09-28.
Triad Behavioral Resources Pc's current location address is 12 N 5th Ave, Wilmington, North Carolina. You can contact this provider via phone number 9107651003 and fax number 9107651004. The mailing address for Triad Behavioral Resources Pc is 12 N 5th Ave, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Triad Behavioral Resources Pc |
|---|---|
| Address | 12 N 5th Ave, Wilmington, North Carolina |
| Phone Number | 9107651003 |
| Fax Number | 9107651004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bolton David |
| Telephone Number | 9107651003 |
NPI Number Detail
| NPI Number | 1336292556 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2023-09-28 |
Provider Mailing Address Detail
| Address | 12 N 5th Ave |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284014537 |
| Phone Number | 9107651003 |
| Fax Number | 9107651004 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MHL041686 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6005083 | NC | -- | |
| 017U3 | NC | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Triad Behavioral Resources Pc by the Centers for Medicare & Medicaid Services?
The Triad Behavioral Resources Pc has been assigned the NPI (National Provider Identifier) 1336292556 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Triad Behavioral Resources Pc is physically located?
The Triad Behavioral Resources Pc is physically situated at the following address: 12 N 5Th Ave, Wilmington, NC, 284014537.
What is Triad Behavioral Resources Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Triad Behavioral Resources Pc is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
When did the Triad Behavioral Resources Pc receive its 1336292556?
The Triad Behavioral Resources Pc was issued its 1336292556 on 2007-01-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Triad Behavioral Resources Pc most recently updated?
The details pertaining to the Triad Behavioral Resources Pc, including its address, specialty, and other relevant information, were last refreshed on 2023-09-28.