Organization
ALBEMARLE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FRANKLIN JR. (AREA DIRECTOR)
(252) 335-1113
Entity
Organization
Contact information
Practice address
1208 HIGHWAY 64 EAST, COLUMBIA, NC 27925-8890
(252) 796-0211
Mailing address
1208 HIGHWAY 64 EAST, COLUMBIA, NC 27925-8890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07051
BLUE CROSS BLUE SHIELD
NC
05
—
3404943
—
NC
05
—
6006208
—
NC
Enumeration date
08/29/2007
Last updated
02/08/2008
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