180 BEHAVIORAL HEALTH, PLLC (NPI# 1760630016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760630016 |
| Entity Type | Organization |
| Organization Name | 180 BEHAVIORAL HEALTH, PLLC |
| Practice Address |
496 Morningside Dr. Blowing Rock NC 28605 |
| Mailing Address |
Po Box 1645 Blowing Rock NC 28605-1645 |
| Practice Telephone | 8282684022 |
| Mailing Telephone | 8282684022 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | MR. JOSEPH WARREN DICKSON (CLINICAL SUPERVISOR/OWNER) |
| Authorized Official Telephone | 8282684022 |
| Authorized Official Credential | MA, LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
4632 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6102765 | 05 |
| Street Address |
496 MORNINGSIDE DR. |
| City | BLOWING ROCK |
| State | NC |
| Zip Code | 28605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043508880 | Jennifer Higgins Eller | Speech-Language Pathologist | 4665 Blowing Rock Blvd., Blowing Rock, NC 28605 | 2011-07-14 |
| 1821265745 | Joseph Mckendrie Jenkins | Urology | 223 Wonderland Trail, Blowing Rock, NC 28605 | 2008-05-09 |
| 1548334964 | Richard Walter Kitchell | Dentist | 366chestnut Dr, Blowing Rock, NC 28605 | 2006-11-17 |
| 1386725737 | Adam E. Hill, Dds | Dentist | 434-2 Sunset Drive, Blowing Rock, NC 28605 | 2006-10-18 |
| 1871507673 | Blowing Rock Hospital, Swing | Medicare Defined Swing Bed Unit | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2006-07-28 |
| 1851413561 | Blowing Rock Hospital | Pharmacy | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2007-04-04 |
| 1629428370 | Appalachian Regional Medical Associates Inc | Internal Medicine | 623 Chestnut Ridge Parkway, Blowing Rock, NC 28605-0000 | 2016-06-14 |
| 1922046820 | Blowing Rock Medical Clinic Pr | Family Medicine | 366 Chestnut Drive, Blowing Rock, NC 28605-0008 | 2006-06-03 |
| 1871788794 | Jennifer Arquette | Speech-Language Pathologist | 4665 Blowing Rock Blvd Lenoir Nc 28645, 146, Blowing Rock, NC 28605-0146 | 2007-09-13 |
| 1417151762 | Rebecca Russell | Speech-Language Pathologist | 4665 Blowing Rock Blvd Lenoir, Nc 28645, Blowing Rock, NC 28605-0146 | 2007-06-12 |
| Find all providers in zip 28605 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOWING ROCK |
| Zip Code | 28605 |
Please comment or provide details below to improve the information on 180 BEHAVIORAL HEALTH, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.