MILITARY SUPPLEMENTAL COUNSELING CENTER LLP NPI 1336624543

NPI Information

NPI: 1336624543
Provider Name: MILITARY SUPPLEMENTAL COUNSELING CENTER, LLP
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
825 GUM BRANCH RD STE 122
JACKSONVILLE, NC
ZIP 28540
Phone: (336) 345-5565
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MILITARY SUPPLEMENTAL COUNSELING CENTER, LLP is a mental health (including community mental health center) clinic center in Jacksonville, NC. MILITARY SUPPLEMENTAL COUNSELING CENTER, LLP NPI is 1336624543. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

825 GUM BRANCH RD STE 122
JACKSONVILLE, NC
ZIP 28540-293
Phone: (336) 345-5565

The provider's authorized official is Gwen C Borcyk .
The authorized official title is Co-owner and has the following contact phone number (336) 345-5565.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 10/3/2018.

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	Primary
1	1041C0700X	Social Worker	Clinical	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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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