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General NPI Number Information
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NPI Number | 1023962883
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Entity Type | Organization
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Legal Business Name | SURRY COUNTY MENTAL HEALTH ASSOCIATES INC.
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 331 CHURCH ST
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City | ELKIN
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State | NC
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Zip | 28621-3444
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Country | US
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Telephone | 336-528-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 227 N BRIDGE ST APT 5
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City | ELKIN
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State | NC
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Zip | 28621-3471
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Country | US
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Telephone | 336-528-8231
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Fax | 336-528-8231
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Authorized Official
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Title or Position | ADMINISTRATOR/OFFICE MANAGER
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Name | TONYA KATHERINE HENDRICKSON
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Credential |
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Telephone | 336-528-8231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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