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Contact Information

PIEDMONT BEHAVIORAL RESOURCES, INC.
201 W. MARION ST. STE. 207
SHELBY, NC28150
 Phone: 704-487-6226
 Fax: 704-487-6286
 Website:
Indicates primary specialty

NPI Profile & details for PIEDMONT BEHAVIORAL RESOURCES, INC.

NPI # 1366699449
LBN Legal business name PIEDMONT BEHAVIORAL RESOURCES, INC.
Authorized official TANZY WALLACE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2008
Last updated 03/26/2013 - About 13 years ago
Identifiers
NC License # 1135
NC License # 229
NC License # 366
NC License # 5595
NC License # MHL-023-046
NC License # MHL-023-148
NC Medicaid 3418626
NC Medicaid 6006639
NC Medicaid 6603420
NC Medicaid 6604374
NC Medicaid 6604390
NC Medicaid 8302555
NC Medicaid 8302555Q
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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