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Organization
BEATTIES FORD ROAD VOCATIONAL TRADE CENTER
Active
Organization
BEATTIES FORD ROAD VOCATIONAL TRADE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES REBECCA HALL (EXECUTIVE DIRECTOR)
(980) 349-4067
Entity
Organization
Contact information
Practice address
237 DRY DOCK LOOP, MOORESVILLE, NC 28117-8054
(980) 349-4067
(980) 209-9717
Mailing address
1406 BEATTIES FORD RD, CHARLOTTE, NC 28216-4550
(980) 349-4067
(980) 209-9717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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