Organization
TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL B. JONES MA (DIRECTOR)
(910) 298-6207
Entity
Organization
Contact information
Practice address
191 N NC HWY 41, BEULAVILLE, NC 28518
(910) 298-6207
(910) 298-6293
Mailing address
PO BOX 1321, BEULAVILLE, NC 28518-1321
(910) 298-9207
(910) 298-6293
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016UO
BCBS
NC
05
—
6005238
—
NC
01
—
B0547
MEDCOST
NC
Enumeration date
11/11/2005
Last updated
11/10/2025
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