| Family Counseling Service Of Durham, Inc. | |
|
1058 W Club Blvd Suite 6662 Durham NC 27701-1104 | |
| (919) 416-4400 | |
| (919) 416-4404 |
| Full Name | Family Counseling Service Of Durham, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1058 W Club Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Albert Huntoon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9194164400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Service Of Durham, Inc. 1058 W Club Blvd Suite 6662 Durham NC 27701-1104 Ph: (919) 416-4400 | Family Counseling Service Of Durham, Inc. 1058 W Club Blvd Suite 6662 Durham NC 27701-1104 Ph: (919) 416-4400 |
| NPI Number | 1891859179 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891859179 | NPI | - | NPPES |
| 005689 | Other | NC | MAGELLAN BEHAVIORAL ID |
| 107336 | Other | NC | UNITED BEHAVIORAL ID |
| 6003809 | Medicaid | NC | |
| 0181F | Other | NC | BCBSNC ID NUMBER |
| 118413 | Other | NC | BEHAVIORAL HEALTH ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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