Organization
TIDELAND MENTAL HEALTH CENTER- SWAN QUARTER 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
1095 MAIN STREET, SWAN QUARTER, NC 27885-9753
(252) 926-3751
(252) 926-9502
Mailing address
PO BOX 67, SWANQUARTER, NC 27885-0067
(252) 926-3751
(252) 926-9502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
09/11/2025
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