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CHILDREN'S HOMES OF CLEVELAND COUNTY NPI 1467542134


NPI Information

NPI: 1467542134
Provider Name: CHILDREN'S HOMES OF CLEVELAND COUNTY
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
1300C GIDNEY ST.
SHELBY, NC
ZIP 28150
Phone: (704) 484-2558
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CHILDREN'S HOMES OF CLEVELAND COUNTY is a marriage family therapist in Shelby, NC. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. CHILDREN'S HOMES OF CLEVELAND COUNTY NPI is 1467542134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300C GIDNEY ST.
SHELBY, NC
ZIP 28150
Phone: (704) 484-2558
Fax: (704) 484-2042

The provider's authorized official is Celena Ditz .
The authorized official title is Director Of Community Services and has the following contact phone number (704) 484-2558.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 3/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16005965MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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