Organization · NPI-2

Beatties Ford Road Vocational Trade Center

Psychologist, Family · Charlotte, NC

NPI number1972166635
StatusActive
Last updated in NPPESFeb 3, 2020

Details

NPI
1972166635
Entity type
Organization (NPI-2)
Legal business name
Beatties Ford Road Vocational Trade Center
Organization subpart
Yes
Enumeration date
Apr 18, 2019
Certification date
Feb 3, 2020
Last updated
Feb 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TF0000X Psychologist, Family––Yes
251S00000X Community/Behavioral Health––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QM2500X Clinic/Center, Medical Specialty––
261QP2300X Clinic/Center, Primary Care––
324500000X Substance Abuse Rehabilitation Facility––
333600000X Pharmacy––

Other names

  • Beatties Ford Road Family Counseling Center (Doing Business As)

Practice location

1406 Beatties Ford Rd
Charlotte, NC 28216-4550

Phone 980-349-4067 · Fax 980-209-9717

Mailing address

1406 Beatties Ford Rd
Charlotte, NC 28216-4550

Phone 980-349-4067 · Fax 980-209-9717

Other practice locations

110 Stockton St
Statesville, NC 28677-5253

Phone 980-349-4067 · Fax 980-209-9717

Authorized official

Frances Rebecca Hall
Executive Director
9803494067

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