Organization
FAMILY TIES OF BRUNSWICK, LLC
Active
Organization
FAMILY TIES OF BRUNSWICK, LLC
Active
Parent organization
FAMILY TIES OF BRUNSWICK, LLC
Other names
Family Ties Mental Health and Substance Abuse Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY TIES OF BRUNSWICK, LLC
Authorized official
MS. BRIDGET DIXON MILLIKEN LCMHC, LCASA (OWNER)
(910) 393-8502
Entity
Organization
Contact information
Practice address
720 N 3RD ST STE 401, WILMINGTON, NC 28401-3474
(910) 769-9126
(910) 769-9169
Mailing address
720 N 3RD ST STE 401, WILMINGTON, NC 28401-3474
(910) 769-9126
(910) 769-9169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9796
NC
101YP2500X
Professional Counselor
Primary
20956
NC
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265776876
—
NC
05
—
L774
—
NC
Enumeration date
06/06/2018
Last updated
11/16/2023
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