Organization · Type 2 NPI

Self-Full Psychotherapy, PC

Community/Behavioral Health Agency · Pineville, NC

NPI number 1710126412 Active

Practice location

106 Oakley Ave, Suite 300
Pineville, NC 28134-8620

Fax (704) 889-5649

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XC004450 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1710126412

Self-Full Psychotherapy, PC's National Provider Identifier is 1710126412, issued on Feb 19, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pineville, NC. The record was last updated on Feb 19, 2009.