Foothills Behavioral Health

LBN: Foothills Behavioral Health
Foothills Behavioral Health is an health care organization with primary practice located at 122 N Carolina Ave , Boonville NC 27011-8934. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Foothills Behavioral Health can be contacted via phone (336) 303-0585, or through Smith, Larry Dale via phone (336) 303-0585.

Contact Information

Primary practice address
122 N Carolina Ave Boonville NC 27011-8934
Phone: (336) 303-0585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Larry Dale LCMHC
Phone: (336) 303-0585

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1619659026
LBN Legal business name Foothills Behavioral Health
DBA Doing business as
Authorized official Smith, Larry Dale LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2023
Last updated Nov 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619659026 NPPES
North Carolina MEDICAID 1689159196

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