Provider Demographics
NPI:1598835928
Name:POSEY, BRIAN TODD
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:TODD
Last Name:POSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 KIT LN
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-2211
Mailing Address - Country:US
Mailing Address - Phone:919-304-7063
Mailing Address - Fax:866-840-5105
Practice Address - Street 1:216 KIT LN
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-2211
Practice Address - Country:US
Practice Address - Phone:919-304-7063
Practice Address - Fax:866-840-5105
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005135101YP2500X
NC5440101YP2500X
NC1868101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103316Medicaid