NPI 1972166635 · live from the CMS NPI Registry
Beatties Ford Road Vocational Trade Center
Psychologist, Family in Charlotte, NC. National Provider Identifier 1972166635, active.
NPI record
| NPI | 1972166635 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Family 103TF0000X |
| Practice location | 1406 Beatties Ford Rd, Charlotte, NC 28216 |
| Practice phone | 980-349-4067 |
| Enumerated | April 18, 2019 |
| Last updated | February 3, 2020 |
| Authorized official | Frances Hall, Executive Director |
| Other names | Beatties Ford Road Family Counseling Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — |
| Clinic/Center, Primary Care | 261QP2300X | — |
| Substance Abuse Rehabilitation Facility | 324500000X | — |
| Pharmacy | 333600000X | — |
| Psychologist, Family primary | 103TF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.