COTTAGE HEALTH CARE SERVICES INC NPI 1487975074

NPI Information

NPI: 1487975074
Provider Name: COTTAGE HEALTH CARE SERVICES, INC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
3826 BLAND RD STE 200
RALEIGH, NC
ZIP 27609
Phone: (919) 872-1441
Get Directions

COTTAGE HEALTH CARE SERVICES, INC is an adolescent and children mental health clinic center in Raleigh, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. COTTAGE HEALTH CARE SERVICES, INC NPI is 1487975074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3826 BLAND RD STE 200
RALEIGH, NC
ZIP 27609-239
Phone: (919) 872-1441
Fax: (919) 872-1455

The provider's authorized official is Obiorah Anachuna .
The authorized official title is Ceo and has the following contact phone number (919) 872-1441.

The enumeration date for this NPI number is 6/17/2010 and was last updated on 11/19/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MHI-092-777	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health			No
3	101YP2500X	Counselor	Professional			No
4	101YS0200X	Counselor	School			No
5	103K00000X	Behavior Analyst				No
6	261QA0600X	Clinic/Center	Adult Day Care	MHI-092-777	NORTH CAROLINA	No
7	261QD1600X	Clinic/Center	Developmental Disabilities	MHI-092-777	NORTH CAROLINA	No
8	261QM0850X	Clinic/Center	Adult Mental Health	MHI-092-777	NORTH CAROLINA	No
9	101Y00000X	Counselor				No
10	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	MHI-092-777	NORTH CAROLINA	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
1	193200000X	MEDICAID	NORTH CAROLINA
2	103TC2200X	MEDICAID	NORTH CAROLINA
3	103TC1900X	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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