Healthcare Provider Details

I. General information

NPI: 1558280693
Provider Name (Legal Business Name): BEHAVIORAL CARE OF NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3716 TRINITY RIVER CT
RALEIGH NC
27612-4365
US

IV. Provider business mailing address

3716 TRINITY RIVER CT
RALEIGH NC
27612-4365
US

V. Phone/Fax

Practice location:
  • Phone: 704-387-9316
  • Fax:
Mailing address:
  • Phone: 704-387-9316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. KRISTOPHER DAVIS
Title or Position: OWNER
Credential:
Phone: 704-387-9316