Harold Stanley Bayne, MALPC CERTIFED CLINI

Individual provider Active NPI Counselor · Mill Spring, NC

NPI 1427180579 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1427180579
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
905 (NC)
Practice address
101 Healing Farm Lane
Mill Spring, NC 28756
Phone
(828) 894-7122
Fax
(828) 894-7111
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
905NCMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 905 NC Yes

Addresses

Primary practice location

101 Healing Farm Lane
Mill Spring, NC 28756

Mailing address

101 Healing Farm Lane
Mill Spring, NC 28756
Phone (828) 894-7122

Other identifiers

IdentifierTypeStateIssuer
6102994MedicaidNC

Other providers in Mill Spring, NC

All providers in Mill Spring, NC · Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.