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Organization
JOHNSTON COUNTY MENTAL HEALTH CTR
Active
Organization
JOHNSTON COUNTY MENTAL HEALTH CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS J NUTT PHD (AREA DIRECTOR)
(919) 989-5500
Entity
Organization
Contact information
Practice address
521 N BRIGHTLEAF BLVD, JOHNSTON COUNTY MEDICAL HEALTH CENTER, SMITHFIELD, NC 27577-4407
(919) 989-5500
(919) 989-5532
Mailing address
PO BOX 411, JOHNSTON COUNTY MENTAL HEALTH CENTER, SMITHFIELD, NC 27577-0411
(919) 989-5500
(919) 989-5532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07116
BCBC
NC
05
—
3404930
—
NC
05
—
5901802
—
NC
05
—
6005572
—
NC
05
—
8301360
—
NC
05
—
8301360B
—
NC
Enumeration date
09/13/2006
Last updated
02/21/2008
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