# BEATTIES FORD ROAD VOCATIONAL TRADE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558984476
- **Authorized official:** MS. FRANCES REBECCA HALL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (980) 349-4067

## Contact information

- **Practice address:** 237 DRY DOCK LOOP, MOORESVILLE, NC 28117-8054
- **Practice address phone:** (980) 349-4067
- **Practice address fax:** (980) 209-9717
- **Mailing address:** 1406 BEATTIES FORD RD, CHARLOTTE, NC 28216-4550
- **Mailing address phone:** (980) 349-4067
- **Mailing address fax:** (980) 209-9717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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