EASTER SEALS UCP NORTH CAROLINA & VIRGINIA INC. NPI 1265594105

NPI Information

NPI: 1265594105
Provider Name: EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
433 W MAIN ST
DURHAM, NC
ZIP 27701
Phone: (919) 433-0170
Get Directions

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. is a mental health counselor in Durham, NC. EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. NPI is 1265594105. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

433 W MAIN ST
DURHAM, NC
ZIP 27701-217
Phone: (919) 433-0170
Fax: (919) 433-0156

The provider's authorized official is Richard P Edwards .
The authorized official title is Vice President and has the following contact phone number (919) 783-8898.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 11/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2345163A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	OPT GROUP
2	018 KJ	OTHER	NORTH CAROLINA	NC BCBS GROUP
3	6005819	MEDICAID	NORTH CAROLINA

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

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