Provider Demographics
NPI:1235455247
Name:M AND H THERAPY AND CONSULTING
Entity Type:Organization
Organization Name:M AND H THERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL ADVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLLIE
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:HOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-610-7892
Mailing Address - Street 1:PO BOX 1383
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-1383
Mailing Address - Country:US
Mailing Address - Phone:919-390-4429
Mailing Address - Fax:919-266-0301
Practice Address - Street 1:313 W SYCAMORE ST # B
Practice Address - Street 2:
Practice Address - City:ZEBULON
Practice Address - State:NC
Practice Address - Zip Code:27597-2530
Practice Address - Country:US
Practice Address - Phone:919-390-4429
Practice Address - Fax:919-266-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006924Medicaid