1841436649 NPI number — M & L BEHAVIORAL SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841436649 NPI number — M & L BEHAVIORAL SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M & L BEHAVIORAL SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841436649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
102 MEADOW LARK WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VILAS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28692
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-773-4337
Provider Business Mailing Address Fax Number:
828-262-2974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 BOONE HEIGHTS DR.
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-773-4337
Provider Business Practice Location Address Fax Number:
828-262-2974
Provider Enumeration Date:
12/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MARTZ
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
MICHELE
Authorized Official Title or Position:
PRESIDENT M & L BEHAVIORAL SERVICES
Authorized Official Telephone Number:
828-773-4337

Provider Taxonomy Codes

  • Taxonomy code: 103TH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: NC2381 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com