Provider Information for 1386281970
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COMMUNITY BEHAVIORAL CARE
Organization Subpart: NO
NPI: 1386281970
Last Updated: 2023-12-19
Certification Date: 2023-12-19
Certification Date: 2023-12-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386281970 | ||||||||
| Enumeration Date | 2019-12-03 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: SHELIA DIANA WILLIAMSON COLLINS PhD, LCMHC, LCAS Title: Owner/Clinician Phone: 9104178794 | ||||||||
| Mailing Address | 225 S HANCOCK ST STE E ROCKINGHAM, NC 28379-3679 United States Phone: 910-778-1724 | Fax:910-434-8842 | ||||||||
| Primary Practice Address | 225 S HANCOCK ST STE E ROCKINGHAM, NC 28379-3679 United States Phone: 910-778-1724 | Fax:910-434-8842 | ||||||||
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