Organization · NPI-2
Alpha Neurobehavioral Clinic PLLC
Psychologist, Clinical · Jacksonville, NC
NPI number1154797033
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1154797033
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Neurobehavioral Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2015
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
2501 Onslow Dr Unit 100Jacksonville, NC 28540-5751
Phone 910-378-7669 · Fax 910-939-2186
Mailing address
2501 Onslow DriveUnit 100 - Po Box 7284
Jacksonville, NC 28540-2284
Phone 910-378-7669 · Fax 910-939-2186
Authorized official
Carl Alan Steed
Owner/Clinical Neuropsychologist
9103787669
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