Organization
BODY WHOLE HEALTH AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY B EATON LCSW (CEO, OWNER)
(252) 293-9966
Entity
Organization
Contact information
Practice address
103 BRENTWOOD CENTER LN N, WILSON, NC 27896-1710
(252) 293-9966
(252) 293-9967
Mailing address
PO BOX 7626, WILSON, NC 27895-7626
(252) 293-9966
(252) 293-9967
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
32314
NC
251S00000X
Community/Behavioral Health Agency
Primary
C003025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410103
—
NC
05
—
5901994
—
NC
05
—
6003801
—
NC
05
—
8301384
—
NC
05
—
8301384D
—
NC
05
—
8301384H
—
NC
05
—
8703105
—
NC
Enumeration date
01/16/2007
Last updated
07/09/2012
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