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Organization

EASTERN CAROLINA HEALTH RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY L HINES PHD (CEO-CLINICAL DIRECTOR)
(252) 636-0001
Entity
Organization

Contact information

Practice address
3010 TRENT RD, NEW BERN, NC 28562-5735
(252) 636-0001
(252) 636-2211
Mailing address
3010 TRENT RD, NEW BERN, NC 28562-5735
(252) 636-0001
(252) 636-2211

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
716
NC
101YP2500X
Professional Counselor
3874
NC
101YP2500X
Professional Counselor
5307
NC
103TC0700X
Clinical Psychologist
Primary
1468
NC
1041C0700X
Clinical Social Worker
C004230
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000392
NC
Enumeration date
03/27/2007
Last updated
07/09/2008
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