| Mentor Behavioral Healthcare, Inc | |
|
249 Wilson Dr Ste 5 Boone NC 28607-8782 | |
| (828) 278-9498 | |
| (877) 211-7323 |
| Full Name | Mentor Behavioral Healthcare, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 249 Wilson Dr Ste 5, Boone, North Carolina |
| Authorized Official Name and Position | Craig Bowman Mckinney (MANAGER) |
| Authorized Official Contact | 8282636158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentor Behavioral Healthcare, Inc Po Box 1361 Boone NC 28607-1361 Ph: (828) 278-9498 | Mentor Behavioral Healthcare, Inc 249 Wilson Dr Ste 5 Boone NC 28607-8782 Ph: (828) 278-9498 |
| NPI Number | 1063924785 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063924785 | NPI | - | NPPES |
| 6107381 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2555 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010375 (North Carolina) | Primary |
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