Healthcare Provider Details

I. General information

NPI: 1851457170
Provider Name (Legal Business Name): CAROLINA BEHAVIORAL HEALTH & PSYCHOLOGICAL RESOURCES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 LACY ST
BURLINGTON NC
27215-5341
US

IV. Provider business mailing address

2224 LACY ST
BURLINGTON NC
27215-5341
US

V. Phone/Fax

Practice location:
  • Phone: 336-228-0112
  • Fax: 336-228-6994
Mailing address:
  • Phone: 336-228-0112
  • Fax: 336-228-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM MICHAEL LARTER
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 336-228-0112