Organization
OXBRIDGE EDUCATORS, INC
Active
Other names
Puzzle Piece Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER C. LORD (PROGRAM DIRECTOR)
(919) 870-7780
Entity
Organization
Contact information
Practice address
5510 MUNFORD RD, RALEIGH, NC 27612-2621
(919) 870-7780
(919) 882-9933
Mailing address
5510 MUNFORD RD, RALEIGH, NC 27612-2621
(919) 870-7780
(919) 600-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
MHL092625
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008071
—
NC
01
—
6503
LME PROGRAM CODE
NC
05
—
8301492H
—
NC
05
—
8301492R
—
NC
01
—
8464
LME PROVIDER CODE
NC
Enumeration date
10/25/2006
Last updated
11/16/2010
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