Provider Demographics
NPI:1811163504
Name:CONTINUITY OF CARE BEHAVIORAL HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:CONTINUITY OF CARE BEHAVIORAL HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LUVENIA
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RNC,FNP
Authorized Official - Phone:252-794-2535
Mailing Address - Street 1:PO BOX 1201
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-1201
Mailing Address - Country:US
Mailing Address - Phone:252-794-2535
Mailing Address - Fax:252-794-2609
Practice Address - Street 1:101 SUTTON DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-1823
Practice Address - Country:US
Practice Address - Phone:252-794-2535
Practice Address - Fax:252-794-2609
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTINUITY OF CARE BEHAVIORAL HEALTH SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)