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Organization
STEVENS HEALTHCARE AGENCY, INC.
Active
Organization
STEVENS HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA FREEMAN STEVENS (PRESIDENT)
(910) 938-7200
Entity
Organization
Contact information
Practice address
824 GUM BRANCH RD STE N, JACKSONVILLE, NC 28540-6269
(910) 938-7200
(910) 938-7201
Mailing address
824 GUM BRANCH RD STE N, JACKSONVILLE, NC 28540-6269
(910) 938-7200
(910) 938-7201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1206
NC
101YP2500X
Professional Counselor
7145
NC
1041C0700X
Clinical Social Worker
C004946
NC
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301546
—
NC
05
—
8301952
—
NC
Enumeration date
10/06/2006
Last updated
09/23/2009
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