None

LBN: Therapeutic Behavioral Healthcare Services, Llc
None is an health care organization with primary practice located at 302 N Main St , Fairmont NC 28340-1730. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Therapeutic Behavioral Healthcare Services, Llc can be contacted via phone (910) 628-5655, or through Spruill, Willie Edward via phone (910) 628-7755.

Contact Information

Primary practice address
302 N Main St Fairmont NC 28340-1730
Phone: (910) 628-5655
Fax: (910) 628-7755
Website:
Map and Directions
Authorized official contact:
Name: Spruill, Willie Edward
Phone: (910) 628-7755

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC4408 North Carolina

Profile Details

NPI number 1700164613
LBN Legal business name Therapeutic Behavioral Healthcare Services, Llc
DBA Doing business as None
Authorized official Spruill, Willie Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2011
Last updated Jul 26th, 2011 - about 15 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 1700164613 NPPES
North Carolina MEDICAID 1891026886

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