Provider Demographics
NPI:1629356720
Name:SCOTLAND FAMILY COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:SCOTLAND FAMILY COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WENTZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-276-7011
Mailing Address - Street 1:1603-A MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5541
Mailing Address - Country:US
Mailing Address - Phone:910-276-7011
Mailing Address - Fax:910-276-7060
Practice Address - Street 1:1603-A MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5541
Practice Address - Country:US
Practice Address - Phone:910-276-7011
Practice Address - Fax:910-276-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty