Provider Demographics
NPI:1184822017
Name:JAMES, BETHANY LEAH (LCAS)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:LEAH
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PEE DEE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-4932
Mailing Address - Country:US
Mailing Address - Phone:704-636-2900
Mailing Address - Fax:704-637-2800
Practice Address - Street 1:107 W. CEMETERY ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-636-2900
Practice Address - Fax:704-637-2800
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor