Jerry Oliver Earnhardt Jr, MS | |
110 W Walker Ave, Asheboro, NC 27203-6760 | |
(336) 633-7000 | |
(336) 625-3817 |
Full Name | Jerry Oliver Earnhardt Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 110 W Walker Ave, Asheboro, 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 |
---|---|---|---|
1962550392 | NPI | - | NPPES |
6103545 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | S3269 (North Carolina) | Primary |
Entity Name | Daymark Recovery Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
Mailing Address | Practice Location Address |
---|---|
Jerry Oliver Earnhardt Jr, MS 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Jerry Oliver Earnhardt Jr, MS 110 W Walker Ave, Asheboro, NC 27203-6760 Ph: (336) 633-7000 |
Mrs. Litha Strother Charles, M.ED., LCMHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 S Cox St, Asheboro, NC 27203 Phone: 336-860-3262 Fax: 336-521-7550 | |
Erica Scales, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Church St, Asheboro, NC 27203 Phone: 336-707-9338 | |
Ms. Sarah Nash Mcneill, MS, LPAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Woodhaven Dr, Asheboro, NC 27205 Phone: 336-653-7388 | |
Mrs. Felicia Reese, M.S. LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 962 S Fayetteville St, Asheboro, NC 27203 Phone: 336-266-1815 | |
Ms. Karen D Caviness, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Lindley Ave, Asheboro, NC 27203 Phone: 336-625-6982 | |
Mrs. Marydale Morgan Worboys, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 S Church St Ste C, Asheboro, NC 27203 Phone: 336-629-9589 | |
Brandy Rae Carlton, LCMHC, LCAS-A Counselor Medicare: Medicare Enrolled Practice Location: 135 Macarthur St, Asheboro, NC 27203 Phone: 366-689-9723 Fax: 855-941-6011 |