NATIONAL MENTOR HEALTHCARE LLC NPI 1154466084

NPI Information

NPI: 1154466084
Provider Name: NATIONAL MENTOR HEALTHCARE LLC

Doing Business As: NC MENTOR

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
600 S FAYETTEVILLE ST
ASHEBORO, NC
ZIP 27203
Phone: (919) 790-8580
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NATIONAL MENTOR HEALTHCARE LLC is a mental health counselor in Asheboro, NC. NATIONAL MENTOR HEALTHCARE LLC NPI is 1154466084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nc Mentor.

The provider's business location address is:

600 S FAYETTEVILLE ST
ASHEBORO, NC
ZIP 27203-404
Phone: (919) 790-8580
Fax: (919) 866-3255

The provider's authorized official is Charles Davis .
The authorized official title is State Director and has the following contact phone number (919) 790-8580.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 9/2/2009.

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 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	=========	OTHER		FEDERAL TAX ID #
2	6005624	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: 11/14/2023

NPI Synchronization or Removal

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