Provider Demographics
NPI:1720122757
Name:AURORA FAMILY COUNSELING CENTER
Entity Type:Organization
Organization Name:AURORA FAMILY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BAUDUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-545-4935
Mailing Address - Street 1:7110 BRIGHTON PARK DR
Mailing Address - Street 2:SUITE 400 PMB 264
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7987
Mailing Address - Country:US
Mailing Address - Phone:704-545-4935
Mailing Address - Fax:910-572-1768
Practice Address - Street 1:7110 BRIGHTON PARK DR
Practice Address - Street 2:SUITE 400 PMB 264
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-7987
Practice Address - Country:US
Practice Address - Phone:704-545-4935
Practice Address - Fax:910-572-1768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1655103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty