REACH OF JACKSON COUNTY NPI 1710174487

NPI Information

NPI: 1710174487
Provider Name: REACH OF JACKSON COUNTY

Other Name: REACH OF JACKSON CO. INC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
22 BROWNING RD
SYLVA, NC
ZIP 28779
Phone: (828) 631-4488
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REACH OF JACKSON COUNTY is a mental health counselor in Sylva, NC. REACH OF JACKSON COUNTY NPI is 1710174487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Reach Of Jackson Co. Inc.

The provider's business location address is:

22 BROWNING RD
SYLVA, NC
ZIP 28779-202
Phone: (828) 631-4488
Fax: (828) 631-4477

The provider's authorized official is Jean Bockstahler .
The authorized official title is Director and has the following contact phone number (828) 631-4488.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.

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	101Y00000X	Counselor		2462/4691/4506	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2462/ CERT.#42	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health	2462/4691/4506	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	Other Provider Identifier Issuer
1	6005520	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: 4/28/2024

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