Healthcare Provider Details
I. General information
NPI: 1285117374
Provider Name (Legal Business Name): CENTER FOR COUNSELING AND INTEGRATIVE HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2018
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
281 VALLEY RIVER AVE
MURPHY NC
28906-2920
US
IV. Provider business mailing address
281 VALLEY RIVER AVE
MURPHY NC
28906-2920
US
V. Phone/Fax
- Phone: 828-835-8844
- Fax:
- Phone: 828-835-8844
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LYNDI
FRENCH
Title or Position: VICE-PRESIDENT
Credential:
Phone: 828-575-3315