Provider Demographics
NPI:1639121114
Name:BELMONT COUNSELING CENTER
Entity Type:Organization
Organization Name:BELMONT COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:704-825-1656
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-0966
Mailing Address - Country:US
Mailing Address - Phone:704-825-1656
Mailing Address - Fax:704-825-0163
Practice Address - Street 1:98 GLENWAY ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3113
Practice Address - Country:US
Practice Address - Phone:704-825-1656
Practice Address - Fax:704-825-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty