Provider Demographics
NPI:1578446233
Name:NORTH, ERNEST CHARLES (DMIN(HC))
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CHARLES
Last Name:NORTH
Suffix:
Gender:M
Credentials:DMIN(HC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N HILL DR
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-1310
Mailing Address - Country:US
Mailing Address - Phone:518-881-8544
Mailing Address - Fax:
Practice Address - Street 1:9 BURNING BUSH BLVD
Practice Address - Street 2:
Practice Address - City:BALLSTON LAKE
Practice Address - State:NY
Practice Address - Zip Code:12019-9365
Practice Address - Country:US
Practice Address - Phone:518-881-8544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty