# CENTRAL CAROLINA PSYCHOTHERAPY, PLLC

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

## Provider details

- **NPI number:** 1760933360
- **Authorized official:** MR. FRANK MULLINS M.A., LPC (OWNER)
- **Authorized official phone:** (336) 638-1374

## Contact information

- **Practice address:** 200 W PARKWAY AVE, HIGH POINT, NC 27262-3026
- **Practice address phone:** (336) 638-1374
- **Practice address fax:** (336) 887-4594
- **Mailing address:** 200 W PARKWAY AVE, HIGH POINT, NC 27262-3026
- **Mailing address phone:** (336) 638-1374
- **Mailing address fax:** (336) 887-4594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 9952 | NC | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 9952 | NC | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016