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NPI Code Detail

MEDICARE: DAVID MARK PERKINS LCMHC

MEDICARE: DAVID MARK PERKINS LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor698NC
2101YP2500XProfessional Counselor698NC
31041C0700XClinical Social Worker698NC
4106H00000XMarriage & Family Therapist698NC
5101Y00000XCounselor698NC

General Provider Information

NPI Number : 1205811346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MARK PERKINS LCMHC
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 BILLINGSLEY RD
Second Line : STE B
City : CHARLOTTE
State : NC
Zip : 28211-1009
Country : US
Telephone Number : 704-444-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 05/04/2023

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