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SYSTEMIC HEALTH RESOURCES INC. NPI 1861522138


NPI Information

NPI: 1861522138
Provider Name: SYSTEMIC HEALTH RESOURCES, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
1100 LOGGER CT
G-103
RALEIGH, NC
ZIP 27609
Phone: (800) 755-6309
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SYSTEMIC HEALTH RESOURCES, INC. is a marriage family therapist in Raleigh, NC. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SYSTEMIC HEALTH RESOURCES, INC. NPI is 1861522138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 LOGGER CT
G-103
RALEIGH, NC
ZIP 27609-525
Phone: (800) 755-6309
Fax: (800) 755-6309

The provider's authorized official is Chad Jordan .
The authorized official title is President and has the following contact phone number (800) 755-6309.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 6/10/2009.


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
1106H00000XMarriage & Family Therapist1092NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017UGOTHERNORTH CAROLINABCBS GROUP
2406952OTHERNORTH CAROLINAMHN
36006120MEDICAIDNORTH CAROLINA
46006121MEDICAIDNORTH 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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