# AMERICORP BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1831592864
- **Authorized official:** MR. IGNACIO KIRK (CEO)
- **Authorized official phone:** (919) 696-6071

## Contact information

- **Practice address:** 304 W MILLBROOK RD STE F, RALEIGH, NC 27609-4381
- **Practice address phone:** (919) 329-2630
- **Mailing address:** 1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
- **Mailing address phone:** (919) 696-6071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | C 000396 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-09-2503 | NC | Yes |

## Other

- **Enumeration date:** 10/05/2014
- **Last updated:** 03/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6003085 | — | NC |