Organization
TIDELAND MENTAL HEALTH CENTER- PLYMOUTH OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MOORE (AREA DIRECTOR)
(252) 946-8061
Entity
Organization
Contact information
Practice address
716 WASHINGTON ST, PLYMOUTH, NC 27962-2222
(252) 793-1154
(252) 793-3860
Mailing address
716 WASHINGTON ST, PLYMOUTH, NC 27962-2222
(252) 793-1154
(252) 793-3860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301499
—
NC
Enumeration date
03/05/2007
Last updated
09/11/2025
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