180 BEHAVIORAL HEALTH, PLLC – NPI #1760630016
Clinic/Center

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.

Health Care Provider Taxonomy Code for Clinic/Center

180 BEHAVIORAL HEALTH, PLLC is an AHC clinic located in BLOWING ROCK, NC. NPPES has assigned the NPI number 1760630016 to 180 BEHAVIORAL HEALTH, PLLC on August 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 180 BEHAVIORAL HEALTH, PLLC below.

NPI Profile for
180 BEHAVIORAL HEALTH, PLLC

NPI Number
1760630016
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
180 BEHAVIORAL HEALTH, PLLC
Primary location
496 MORNINGSIDE DR.
BLOWING ROCK, NC 28605
Phone: (828) 268-4022 Fax:
Mailing address
PO BOX 1645
BLOWING ROCK, NC 28605-1645
Phone: (828) 268-4022 Fax:
Organization Subpart
No
Authorized Official
JOSEPH DICKSON
CLINICAL SUPERVISOR/OWNER
Phone: (828) 268-4022
Updated
Identifiers

Identifiers for 180 BEHAVIORAL HEALTH, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC6102765
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)		 NC 4632

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.