Provider Type Icon

CHILD & FAMILY THERAPY CENTER PC NPI 1396074159


NPI Information

NPI: 1396074159
Provider Name: CHILD & FAMILY THERAPY CENTER PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
715 FAIRGROVE CHURCH RD SE
SUITE 102
CONOVER, NC
ZIP 28613
Phone: (704) 664-7148
Get Directions

CHILD & FAMILY THERAPY CENTER PC is a professional counselor in Conover, NC. CHILD & FAMILY THERAPY CENTER PC NPI is 1396074159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 FAIRGROVE CHURCH RD SE
SUITE 102
CONOVER, NC
ZIP 28613-290
Phone: (704) 664-7148
Fax: (704) 664-3086

The provider's authorized official is Pamela H James .
The authorized official title is Office Manager and has the following contact phone number (704) 664-7148.

The enumeration date for this NPI number is 12/8/2009 and was last updated on 3/3/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional851NORTH 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
16006780MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.