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General NPI Number Information
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NPI Number | 1124223631
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Entity Type | Organization
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Legal Business Name | CARTER BEHAVIOR HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 501A GREENVILLE BLVD SE
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City | GREENVILLE
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State | NC
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Zip | 27858-6736
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Country | US
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Telephone | 252-353-5577
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Fax | 252-353-8577
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Provider Business Mailing Address
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Address Line | 308 GREENVILLE BLVD SE STE A
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City | GREENVILLE
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State | NC
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Zip | 27858-5758
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Country | US
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Telephone | 252-353-5577
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Fax | 252-353-8577
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Authorized Official
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Title or Position | PROGRAM DIRECTOR, P-LCAS
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Name | MR. TERRY LAMONT SPELLER
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Credential |
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Telephone | 252-347-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | HC4036
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC4036
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License Number State | NC
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