Provider Demographics
NPI:1114233699
Name:PHD INC
Entity Type:Organization
Organization Name:PHD INC
Other - Org Name:PASSAGES COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIADRA
Authorized Official - Middle Name:BLOUNT
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, CCS, LMCHC
Authorized Official - Phone:252-975-3111
Mailing Address - Street 1:323 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4801
Mailing Address - Country:US
Mailing Address - Phone:252-975-3111
Mailing Address - Fax:252-975-3035
Practice Address - Street 1:131 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4947
Practice Address - Country:US
Practice Address - Phone:252-975-3111
Practice Address - Fax:252-975-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC50829251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health