Provider Demographics
NPI:1457132326
Name:MFBT SOLUTIONS
Entity Type:Organization
Organization Name:MFBT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST-CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-231-4294
Mailing Address - Street 1:2505 S 17TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7992
Mailing Address - Country:US
Mailing Address - Phone:910-254-4545
Mailing Address - Fax:
Practice Address - Street 1:2505 S 17TH ST STE 200
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7992
Practice Address - Country:US
Practice Address - Phone:910-254-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty