Provider Demographics
NPI:1235353764
Name:ALAMANCE REGIONAL HOSPITAL
Entity Type:Organization
Organization Name:ALAMANCE REGIONAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEVENE
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:NCC,LPC
Authorized Official - Phone:336-538-7484
Mailing Address - Street 1:315 WENTWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7191
Mailing Address - Country:US
Mailing Address - Phone:919-304-5987
Mailing Address - Fax:
Practice Address - Street 1:1238 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-538-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4557251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health