Healthcare Provider Details

I. General information

NPI: 1457287427
Provider Name (Legal Business Name): MBK SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 UNION ST S STE 228
CONCORD NC
28025
US

IV. Provider business mailing address

6012 BAYFIELD PKWY STE 379
CONCORD NC
28027-7597
US

V. Phone/Fax

Practice location:
  • Phone: 585-415-4457
  • Fax: 585-415-4457
Mailing address:
  • Phone: 980-357-3588
  • Fax: 972-695-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HAROLD WILLIAMS
Title or Position: PARTNER/MANAGER
Credential:
Phone: 585-415-4457