Colony Behavioral Health Group, Pllc in Trent Woods - Clinical
Colony Behavioral Health Group, Pllc - NPI 1770536054
Colony Behavioral Health Group, Pllc is a Clinical in Trent Woods, North Carolina. Colony Behavioral Health Group, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colony Behavioral Health Group, Pllc is 1770536054. The last update date is 2009-06-25.
Colony Behavioral Health Group, Pllc's current location address is 2804 Village Way, Trent Woods, North Carolina. You can contact this provider via phone number 2526360112 and fax number 2526349778. The mailing address for Colony Behavioral Health Group, Pllc is 2804 Village Way, Trent Woods, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Colony Behavioral Health Group, Pllc |
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Address | 2804 Village Way, Trent Woods, North Carolina |
Phone Number | 2526360112 |
Fax Number | 2526349778 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | LICENSED P |
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Authorized Official Name | Jacobson Thumm Bethanne |
Credentials | PH.D. |
Telephone Number | 2526360112 |
NPI Number Detail
NPI Number | 1770536054 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2009-06-25 |
Provider Mailing Address Detail
Address | 2804 Village Way |
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City | Trent Woods |
State | North Carolina (NC) |
Post Code | 285627305 |
Phone Number | 2526360112 |
Fax Number | 2526349778 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 2021 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6006464 | NC | -- | |
0197Q | NC | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the Colony Behavioral Health Group, Pllc's 1770536054?
The Colony Behavioral Health Group, Pllc's NPI (National Provider Identifier) Number is 1770536054. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Colony Behavioral Health Group, Pllc's facilities are geographically located?
The facilities of Colony Behavioral Health Group, Pllc are physically situated at the following location: 2804 Village Way, Trent Woods, NC, 285627305.
What is Colony Behavioral Health Group, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Colony Behavioral Health Group, Pllc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Colony Behavioral Health Group, Pllc receive its 1770536054?
The Colony Behavioral Health Group, Pllc was issued its 1770536054 on 2006-05-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Colony Behavioral Health Group, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Colony Behavioral Health Group, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-25.