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Organization
THE NAMASTE NETWORK
Active
Organization
THE NAMASTE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HICKS (CEO)
(704) 765-4880
Entity
Organization
Contact information
Practice address
18714 RIVER FORD DR, DAVIDSON, NC 28036-8816
(704) 765-4880
Mailing address
PO BOX 1486, DAVIDSON, NC 28036-1486
(704) 765-4880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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