| Azalea Behavioral Services Llc | |
|
1004 Lake Park Blvd N Apt 424 Carolina Beach NC 28428-5435 | |
| (207) 450-2284 | |
| Not Available |
| Full Name | Azalea Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1004 Lake Park Blvd N Apt 424, Carolina Beach, North Carolina |
| Authorized Official Name and Position | Matthew Joseph Mcbrady (OWNER) |
| Authorized Official Contact | 2074502284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Behavioral Services Llc 1004 Lake Park Blvd N Apt 424 Carolina Beach NC 28428-5435 Ph: (207) 450-2284 | Azalea Behavioral Services Llc 1004 Lake Park Blvd N Apt 424 Carolina Beach NC 28428-5435 Ph: (207) 450-2284 |
| NPI Number | 1588536767 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588536767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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