Provider Demographics
NPI:1396461869
Name:COLLABORATIVE MENTAL HEALTH OF CARRBORO, PLLC
Entity type:Organization
Organization Name:COLLABORATIVE MENTAL HEALTH OF CARRBORO, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NP/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:BRION
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, PMHNP
Authorized Official - Phone:614-632-6090
Mailing Address - Street 1:204 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9111
Mailing Address - Country:US
Mailing Address - Phone:161-463-2609
Mailing Address - Fax:
Practice Address - Street 1:204 OAK PARK DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9111
Practice Address - Country:US
Practice Address - Phone:614-632-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty