BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY INC NPI 1316397847

NPI Information

  • NPI: 1316397847
  • Provider Name: BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: BURKE RECOVERY
  • CLIA Number: 34D2217908
  • Address: 1013 WEST AVE NW
    LENOIR, NC
    ZIP 28645
  • Phone: (828) 433-1221

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NPI Details

BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC is an addiction (substance use disorder) counselor in Lenoir, NC. BURKE COUNCIL ON ALCOHOLISM AND CHEMICAL DEPENDENCY, INC NPI is 1316397847. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Burke Recovery.

The provider's business location address is:

1013 WEST AVE NW
LENOIR, NC
ZIP 28645-126
Phone: (828) 433-1221
Fax: (828) 433-1287

The provider's authorized official is Joe Marks .
The authorized official title is Executive Director and has the following contact phone number (828) 433-1221.

The CLIA number assigned to this NPI record is 34D2217908 - other - detention facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)MHL-012-038NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16006610MEDICAIDNORTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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