Provider Demographics
NPI:1144367384
Name:MENTAL HEALTH PARTNERS
Entity type:Organization
Organization Name:MENTAL HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-327-2595
Mailing Address - Street 1:1985 TATE BLVD SE
Mailing Address - Street 2:SUITE 529
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1433
Mailing Address - Country:US
Mailing Address - Phone:828-327-2595
Mailing Address - Fax:828-325-9826
Practice Address - Street 1:1985 TATE BLVD SE
Practice Address - Street 2:SUITE 529
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1433
Practice Address - Country:US
Practice Address - Phone:828-327-2595
Practice Address - Fax:828-325-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404912Medicaid
NC3408153Medicaid
NC5902046Medicaid
NC6005549Medicaid