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Contact Information

BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC
1165 GREGORY DR
ROANOKE RAPIDS, NC27870-6442
 Phone: 252-537-7575
 Fax: 252-537-9008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC

NPI # 1982723177
LBN Legal business name BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC
Authorized official EVELYN DAWSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 09/13/2007 - About 19 years ago
Identifiers
NC Medicaid 8300814
NC Medicaid 8300814B
NC Medicaid 8300814G
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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