# NATIONAL MENTOR HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NC MENTOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518002443
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 800 JEFFERSON PLAZA, SUITE 114, WHITEVILLE, NC 28472-3710
- **Practice address phone:** (919) 790-8580
- **Practice address fax:** (919) 790-8065
- **Mailing address:** 313 CONGRESS ST, BOSTON, MA 02210-1218
- **Mailing address phone:** (800) 388-5150
- **Mailing address fax:** (617) 790-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 03/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8300299 | — | NC |