NEW RIVER SERVICE AUTHORITY NPI 1013149665

NPI Information

NPI: 1013149665
Provider Name: NEW RIVER SERVICE AUTHORITY

Doing Business As: NEW RIVER BEHAVVIORAL HEALTHCARE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC
ZIP 28625
Phone: (704) 871-1045
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NEW RIVER SERVICE AUTHORITY is a mental health counselor in Statesville, NC. NEW RIVER SERVICE AUTHORITY NPI is 1013149665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New River Behavvioral Healthcare.

The provider's business location address is:

524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC
ZIP 28625-391
Phone: (704) 871-1045
Fax: (704) 883-8638

The provider's authorized official is Patricia P Andrews .
The authorized official title is Ceo and has the following contact phone number (336) 372-4095.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 8/17/2009.

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
1	101YM0800X	Counselor	Mental Health	MHL-049-108	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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