Provider Demographics
NPI:1386281970
Name:COMMUNITY BEHAVIORAL CARE
Entity type:Organization
Organization Name:COMMUNITY BEHAVIORAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:WILLIAMSON COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCMHC, LCAS
Authorized Official - Phone:910-417-8794
Mailing Address - Street 1:225 S HANCOCK ST STE E
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3679
Mailing Address - Country:US
Mailing Address - Phone:910-778-1724
Mailing Address - Fax:910-434-8842
Practice Address - Street 1:225 S HANCOCK ST STE E
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3679
Practice Address - Country:US
Practice Address - Phone:910-778-1724
Practice Address - Fax:910-434-8842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health