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FAMILY TIES OF BRUNSWICK LLC NPI 1831682665


NPI Information

NPI: 1831682665
Provider Name: FAMILY TIES OF BRUNSWICK, LLC

Doing Business As: FAMILY TIES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
720 N 3RD ST STE 401
WILMINGTON, NC
ZIP 28401
Phone: (910) 769-9126
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FAMILY TIES OF BRUNSWICK, LLC is a professional counselor in Wilmington, NC. FAMILY TIES OF BRUNSWICK, LLC NPI is 1831682665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Ties Mental Health And Substance Abuse Counseling Services.

The provider's business location address is:

720 N 3RD ST STE 401
WILMINGTON, NC
ZIP 28401-474
Phone: (910) 769-9126
Fax: (910) 769-9169

The provider's authorized official is Bridget Dixon Milliken .
The authorized official title is Owner and has the following contact phone number (910) 393-8502.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 11/16/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2101YM0800XCounselorMental Health9796NORTH CAROLINANo
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessional20956NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265776876MEDICAIDNORTH CAROLINA
2L774MEDICAIDNORTH 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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