Provider Demographics
NPI:1497888960
Name:WARD, JAMES BELL (MDIV, LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BELL
Last Name:WARD
Suffix:
Gender:M
Credentials:MDIV, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 COMPASS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-9609
Mailing Address - Country:US
Mailing Address - Phone:252-442-9290
Mailing Address - Fax:
Practice Address - Street 1:2301 MEDPARK DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2288
Practice Address - Country:US
Practice Address - Phone:252-443-9500
Practice Address - Fax:252-937-5445
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3806101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional