Provider Demographics
NPI:1235314238
Name:BEHAVIORAL HEALTH ASSOCIATES OF NORTH CAROLINA, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH ASSOCIATES OF NORTH CAROLINA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:RAAB
Authorized Official - Last Name:WEINLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-636-2679
Mailing Address - Street 1:301 N SECOND ST
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-2401
Mailing Address - Country:US
Mailing Address - Phone:919-636-2679
Mailing Address - Fax:919-304-9546
Practice Address - Street 1:301 N SECOND ST
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-2401
Practice Address - Country:US
Practice Address - Phone:919-636-2679
Practice Address - Fax:919-304-9546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3356103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty