Colony Behavioral Health Group, Pllc is a Counselor Clinic in Trent Woods, North Carolina. It is located at 2804 Village Way, Trent Woods, NC and its contact number is 252-636-0112. The authorized person for Colony Behavioral Health Group, Pllc is Dr. Bethanne Thumm Jacobson
who is Licensed Psychologist of the clinic and his/her contact number is 252-636-0112. The primary license number for Colony Behavioral Health Group, Pllc is 3037 (Counseling) in North Carolina. Colony Behavioral Health Group, Pllc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Colony Behavioral Health Group, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Colony Behavioral Health Group, Pllc
Specialization:
Counselor
Clinic Address:
2804 Village Way, Trent Woods, North Carolina, 28562-7305
Phone:
252-636-0112
Fax:
252-634-9778
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Bethanne Thumm Jacobson
Position:
Licensed Psychologist
Contact Number:
252-636-0112
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Colony Behavioral Health Group, Pllc clinic are as mentioned below.
NPI Number:
1770536054
NPI Enumeration Date:
18 May, 2006
NPI Last Update On:
25 Jun, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colony Behavioral Health Group, Pllc are as mentioned below.
Specialization
License Number
State
Status
Counseling
3037
North Carolina
Primary
Counselor
LPC1030
North Carolina
Secondary
Addiction (Substance Use Disorder)
PCAS28
North Carolina
Secondary
Clinical
2021
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6006464
Medicaid
North Carolina
0197Q
Other
North Carolina
Blue Cross Blue Sheild
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Colony Behavioral Health Group, Pllc 2804 Village Way, Trent Woods, North Carolina
Zip:
28562-7305
Phone Number:
252-636-0112
Fax Number:
252-634-9778
Patients can reach Colony Behavioral Health Group, Pllc at 2804 Village Way, Trent Woods, North Carolina or can call to book an appointment on 252-636-0112. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.