Organization
DAYMARK RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY R WEST JR. (PRESIDENT)
(704) 939-1100
Entity
Organization
Contact information
Practice address
2129 STATESVILLE BLVD, SALISBURY, NC 28147-1411
(704) 633-3616
(704) 636-8818
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
MHL-080-058
NC
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005706
—
NC
Enumeration date
02/05/2007
Last updated
06/02/2014
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