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Organization

TIDELAND MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA R MOORE (AREA DIRECTOR)
(252) 946-8061
Entity
Organization

Contact information

Practice address
1308 HIGHLAND DR, WASHINGTON, NC 27889-3424
(252) 946-8061
(252) 946-8078
Mailing address
1308 HIGHLAND DR, WASHINGTON, NC 27889-3424
(252) 946-8061
(252) 946-8078

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005470
NC
Enumeration date
08/08/2006
Last updated
09/11/2025
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