Organization
CARRIAGE HOUSE PSYCHOLOGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN SWEET FREEMAN PSYD (PSYCHOLOGIST CO OWNER)
(252) 537-6164
Entity
Organization
Contact information
Practice address
600 JACKSON ST, STE B, ROANOKE RAPIDS, NC 27870
(252) 537-6164
(252) 537-9199
Mailing address
PO BOX 2161, ROANOKE RAPIDS, NC 27870
(252) 537-6164
(252) 537-9199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158T
BCNC
—
01
—
434862
ANTHEM BC
—
05
—
6005066
—
NC
Enumeration date
06/17/2006
Last updated
05/15/2008
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