Tyson'S Corner Health Services, INC.
Counselor in Rocky Mount, NC. Organization (NPI-2).
NPI number1265713606
StatusActive
Last updated in NPPESMay 12, 2014
Details
- NPI
- 1265713606
- Entity type
- Organization (NPI-2)
- Legal business name
- Tyson'S Corner Health Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2011
- Last updated
- May 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | NC | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
600 N Grace StUnit D
Rocky Mount, NC 27804-4843
Phone 252-407-8469
Mailing address
2100 N Heritage StUnit B
Kinston, NC 28501-2222
Phone 252-407-8469
Authorized official
Caspertine Hawkins
Ceo
2524078469
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