Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colony Behavioral Health Group, PLLC

Organization Counselor · NPI 1770536054

Colony Behavioral Health Group, PLLC provides Counselor services in Trent Woods, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2804 Village Way
Trent Woods, NC 28562-7305 Not confirmed with CMS for 17 years — call before visiting
Phone: (252) 636-0112
Fax: (252) 634-9778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 3037 (NC)
Counselor Taxonomy 101Y00000X · Licence LPC1030 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence PCAS28 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2021 (NC)

Record details

NPI number1770536054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethanne Jacobson — Licensed Psychologist · (252) 636-0112
NPI enumeratedMay 18, 2006
Last updated in NPPESJune 25, 2009
Mailing address2804 Village Way, Trent Woods, NC 28562-7305

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