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FAMILY PRESERVATION SERVICES OF NC INC. NPI 1972641983


NPI Information

NPI: 1972641983
Provider Name: FAMILY PRESERVATION SERVICES OF NC, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2609 N DUKE ST
SUITE 504
DURHAM, NC
ZIP 27704
Phone: (919) 401-1151
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FAMILY PRESERVATION SERVICES OF NC, INC. is a community behavioral health in Durham, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY PRESERVATION SERVICES OF NC, INC. NPI is 1972641983. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2609 N DUKE ST
SUITE 504
DURHAM, NC
ZIP 27704-048
Phone: (919) 401-1151

The provider's authorized official is Miranda Kaye Little .
The authorized official title is Nc Qi & Training Dir and has the following contact phone number (704) 344-0491.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/27/2015.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5106H00000XMarriage & Family TherapistNo
6103T00000XPsychologistNo
7103TA0400XPsychologistAddiction (Substance Use Disorder)No
8103TC0700XPsychologistClinicalNo
9103TC2200XPsychologistClinical Child & AdolescentNo
10103TB0200XPsychologistCognitive & BehavioralNo
11103TC1900XPsychologistCounselingNo
12103TH0004XPsychologistHealthNo
13103TS0200XPsychologistSchoolNo
14104100000XSocial WorkerNo
15251S00000XCommunity/Behavioral HealthYes

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
16005324MEDICAIDNORTH 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: 11/14/2023

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