Organization
TIDELAND MENTAL HEALTH CENTER- MATT OPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MOORE (AREA DIRECTOR)
(252) 946-8061
Entity
Organization
Contact information
Practice address
69 CHURCH STREET, FAIRFIELD, NC 27826
(252) 926-3731
(252) 926-3213
Mailing address
PO BOX 36, FAIRFIELD, NC 27826-0036
(252) 926-3731
(252) 926-3213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
09/11/2025
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