Healthcare Provider Details

I. General information

NPI: 1508784091
Provider Name (Legal Business Name): M AND S BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W PARRIS AVE STE 7
HIGH POINT NC
27262-7828
US

IV. Provider business mailing address

131 W PARRIS AVE STE 7
HIGH POINT NC
27262-7828
US

V. Phone/Fax

Practice location:
  • Phone: 336-880-1412
  • Fax:
Mailing address:
  • Phone: 336-880-1412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE A DOUGLAS
Title or Position: CO-OWNER
Credential:
Phone: 336-880-1412