Organization
GLOBAL MENTAL HEALTH AND SUBSTANCE ABUSE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA COUCH MS, LCAS-A (OWNER)
(919) 530-0555
Entity
Organization
Contact information
Practice address
65 TW ALEXANDER DRIVE, DURHAM, NC 27709
(919) 530-0555
Mailing address
PO BOX 12487, DURHAM, NC 27709-2487
(919) 530-0555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCAS-21691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164817706
NPI
NC
Enumeration date
09/18/2015
Last updated
09/18/2015
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