Provider Demographics
NPI:1356153761
Name:MRH COUNSELING AND BEHAVIORAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:MRH COUNSELING AND BEHAVIORAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-384-1713
Mailing Address - Street 1:1520 ARAGON DR APT 104
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-6023
Mailing Address - Country:US
Mailing Address - Phone:631-384-1713
Mailing Address - Fax:
Practice Address - Street 1:1520 ARAGON DR APT 104
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6023
Practice Address - Country:US
Practice Address - Phone:631-384-1713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty