Provider Demographics
NPI:1235320862
Name:FOOTHILLS MENTAL HEALTH
Entity Type:Organization
Organization Name:FOOTHILLS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-432-8810
Mailing Address - Street 1:115 WAMSUTTA MILL RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5552
Mailing Address - Country:US
Mailing Address - Phone:828-432-8810
Mailing Address - Fax:
Practice Address - Street 1:115 WAMSUTTA MILL RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5552
Practice Address - Country:US
Practice Address - Phone:828-432-8810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children