Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colony Behavioral Health Group, PLLC

Organization Counselor · NPI 1770536054

Colony Behavioral Health Group, PLLC is a Counselor 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
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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