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THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES INC NPI 1164878880


NPI Information

NPI: 1164878880
Provider Name: THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES, INC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3126 MILTON RD STE 233
CHARLOTTE, NC
ZIP 28215
Phone: (704) 817-9117
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THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES, INC is a clinical social worker in Charlotte, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. THE VILLAGE BEHAVIORAL HEALTHCARE SERVICES, INC NPI is 1164878880. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3126 MILTON RD STE 233
CHARLOTTE, NC
ZIP 28215-782
Phone: (704) 817-9117
Fax: (855) 299-3536

The provider's authorized official is Malik Ashhali .
The authorized official title is Owner, Clinical Therapist and has the following contact phone number (704) 891-3481.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 4/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)3040NORTH CAROLINANo
21041C0700XSocial WorkerClinicalNo
31041C0700XSocial WorkerClinicalC009966NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.