Provider Demographics
NPI:1124169263
Name:ALBEMARLE BEHAVIORAL MEDICINE, PC
Entity type:Organization
Organization Name:ALBEMARLE BEHAVIORAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-338-0121
Mailing Address - Street 1:410 E MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4495
Mailing Address - Country:US
Mailing Address - Phone:252-338-0121
Mailing Address - Fax:252-338-0811
Practice Address - Street 1:410 E MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4495
Practice Address - Country:US
Practice Address - Phone:252-338-0121
Practice Address - Fax:252-338-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC95002122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910068Medicaid
NC8910068Medicaid