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Dream Provider Care Services
Community/Behavioral Health Agency in Edenton, North Carolina
NPI 1194005256

Dream Provider Care Services is a Community/Behavioral Health Agency based in Washington, NC. Dream Provider Care Services practices in Edenton, NC. The NPI Number for Dream Provider Care Services is 1194005256 and holds a License No. (North Carolina).

The current practice location address for Dream Provider Care Services is 703 N Broad Street, Edenton, NC and can be reached out via phone at 252-946-0585 and via fax at 252-946-0580.

Location: 703 N Broad Street, Edenton, NC, 27889-4972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194005256
Provider Name
Dream Provider Care Services
Credential
Provider Entity Type
Organization
Address
703 N Broad Street, Edenton, NC, 27889-4972
Phone Number
252-946-0585
Fax Number
252-946-0580
Provider Enumeration Date
08/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6005782 05 NC
institution
Provider Business Practice Location Address Details
Address
703 N Broad Street
City
Edenton
State
North Carolina
Zip
27932-0703
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider Business Mailing Address Details
Address
703 N Broad Street
City
Edenton
State
North Carolina
Zip
27932-0703
Phone Number
252-946-0585
Fax Number
252-946-0580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MHL007036 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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