Organization · Type 2 NPI

Beatties Ford Road Vocational Trade Center

Family Psychologist · Charlotte, NC

NPI number 1972166635 Active

Practice location

1406 Beatties Ford Rd
Charlotte, NC 28216-4550

Call (980) 349-4067 Map

Fax (980) 209-9717

Other practice locations

110 Stockton St, Statesville, NC 28677-5253 · (980) 349-4067

Specialties and licenses

Taxonomy	Code	License
Family Psychologist Primary	103TF0000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
Primary Care Clinic/Center	261QP2300X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed
Pharmacy	333600000X	None listed

Family Psychologist: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

5 other providers at this address

NPI record

NPI: 1972166635
Entity type: Organization (Type 2)
Issued: Apr 18, 2019
Last updated: Feb 3, 2020
Status: Active
Subpart: Yes of Beatties Ford Road Vocational Trade Center

Other names

<unavail>
Beatties Ford Road Family Counseling Center · doing business as
Beatties Ford Road Family Counseling Center · doing business as

Authorized official

Ms. Frances Rebecca Hall
Executive Director
(980) 349-4067

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972166635

Beatties Ford Road Vocational Trade Center's National Provider Identifier is 1972166635, issued on Apr 18, 2019. The primary taxonomy on file is Family Psychologist (103TF0000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 3, 2020.