Organization
CASCADE BEHAVIORAL TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA TERESA WILLIAMS MS, LCAS (DIRECTOR)
(252) 758-2065
Entity
Organization
Contact information
Practice address
325 CLIFTON ST, GREENVILLE, NC 27858-5005
(252) 758-2065
(252) 758-2084
Mailing address
325 CLIFTON ST, GREENVILLE, NC 27858-5005
(252) 758-2065
(252) 758-2084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHL074155
NC
101YP2500X
Professional Counselor
Primary
MHL074155
NC
103TC0700X
Clinical Psychologist
MHL074155
NC
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911378
—
NC
Enumeration date
06/05/2009
Last updated
06/05/2009
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