Organization
BEATTIES FORD ROAD VOCATIONAL TRADE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES REBECCA HALL (EXECUTIVE DIRECTOR)
(980) 349-4067
Entity
Organization
Contact information
Practice address
237 DRY DOCK LOOP, MOORESVILLE, NC 28117-8054
(980) 349-4067
(980) 209-9717
Mailing address
1406 BEATTIES FORD RD, CHARLOTTE, NC 28216-4550
(980) 349-4067
(980) 209-9717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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