Colony Behavioral Health Group, Pllc in Trent Woods - Counseling

Colony Behavioral Health Group, Pllc - NPI 1770536054

Colony Behavioral Health Group, Pllc is a Counseling in Trent Woods, North Carolina. Colony Behavioral Health Group, Pllc practices all healthcare services and medical treatments related to Counseling. 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
Address 2804 Village Way, Trent Woods, North Carolina
Phone Number 2526360112
Fax Number 2526349778
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED P
Authorized Official Name Jacobson Thumm Bethanne
Credentials PH.D.
Telephone Number 2526360112

NPI Number Detail

NPI Number 1770536054
Provider Enumeration Date 2006-05-18
Last Updated Date 2009-06-25

Provider Mailing Address Detail

Address 2804 Village Way
City Trent Woods
State North Carolina (NC)
Post Code 285627305
Phone Number 2526360112
Fax Number 2526349778

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 3037
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6006464 NC --
0197Q NC BLUE CROSS BLUE SHEILD

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FAQs about Colony Behavioral Health Group, Pllc

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 Counseling, and the taxonomy code that categorizes this field of expertise is 103Tc1900X.

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.

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