Healthcare Provider Details

I. General information

NPI: 1760784573
Provider Name (Legal Business Name): HELPING HANDS RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 11/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 CHANEY AVE
JACKSONVILLE NC
28540-4805
US

IV. Provider business mailing address

118 CHANEY AVE
JACKSONVILLE NC
28540-4805
US

V. Phone/Fax

Practice location:
  • Phone: 910-455-7696
  • Fax: 910-455-5434
Mailing address:
  • Phone: 910-455-7696
  • Fax: 910-455-5434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number28713
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number28713
License Number StateNC

VIII. Authorized Official

Name: BEVERLY JACKSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 910-238-9300