| Eva Lewis Supel, LCMHC LCAS | |
|
208 N Greene St, Snow Hill, NC 28580-1410 | |
| (336) 275-7973 | |
| Not Available |
| Full Name | Eva Lewis Supel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 208 N Greene St, Snow Hill, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235574633 | NPI | - | NPPES |
| 1164623237 | Medicaid | NC | |
| 1750037362 | Medicaid | NC | |
| 1235574633 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10756 (North Carolina) | Primary |
| Entity Name | Talkspace Provider Network Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20241008001421 |
| Entity Name | Journey Towards Improved Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750037362 PECOS PAC ID: 7416470778 Enrollment ID: O20250327000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Lewis Supel, LCMHC LCAS 108 Carver Drive, Snow Hill, NC 28580-1302 Ph: (336) 312-3818 | Eva Lewis Supel, LCMHC LCAS 208 N Greene St, Snow Hill, NC 28580-1410 Ph: (336) 275-7973 |
Elvia Karen Bello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1106 Kingold Blvd, Snow Hill, NC 28580 Phone: 252-747-2931 | |
Tomekia Sherie Blackmon, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 A Kingold Blvd, Snow Hill, NC 28580 Phone: 252-747-5705 Fax: 252-747-5635 | |
Skylar Joy Alexander, LCSW, LCAS Counselor Medicare: Medicare Enrolled Practice Location: 205 Martin L King Jr Pkwy, Snow Hill, NC 28580 Phone: 252-747-4199 Fax: 252-221-5308 | |
Jazmin Stephanie Gonzalez, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1106 Kingold Blvd, Snow Hill, NC 28580 Phone: 252-747-2921 Fax: 252-747-4915 | |
Martia Taylor, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 Kingold Blvd, Snow Hill, NC 28580 Phone: 252-525-0793 |