Healthcare Provider Details

I. General information

NPI: 1871283622
Provider Name (Legal Business Name): BRITTON NOEL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 COURT SQ
SANFORD NC
27330-5658
US

IV. Provider business mailing address

600 W CHISHOLM ST
SANFORD NC
27330-3759
US

V. Phone/Fax

Practice location:
  • Phone: 919-292-1464
  • Fax: 919-292-1471
Mailing address:
  • Phone: 435-770-2497
  • Fax: 919-292-1471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BRITTON PAULL NOEL
Title or Position: COUNSELOR
Credential: LCMHC, LCAS
Phone: 435-770-2497