Clinicians Of Mecklenburg
LBN: Clinicians Of Mecklenburg
Clinicians Of Mecklenburg is an health care organization with primary practice located at 11 Union St S # Ll207 , Concord NC 28025-5059. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Clinicians Of Mecklenburg can be contacted via phone (919) 672-5005, or through Banks, Dashun via phone (919) 672-5005.
Contact Information
Primary practice address
11 Union St S # Ll207
Concord NC 28025-5059
Phone: (919) 672-5005
Fax:
Website:
Authorized official contact:
Name: Banks, Dashun Licensed Professional Counselor (LPC)
Phone: (919) 672-5005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / School | 101YS0200X | ||
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1174099436 |
|---|---|
| LBN Legal business name | Clinicians Of Mecklenburg |
| DBA Doing business as | |
| Authorized official | Banks, Dashun Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 15th, 2018 |
| Last updated | Jun 6th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174099436 | NPPES |
| North Carolina | MEDICAID | 33625 |
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