Lara Brickhouse, is a
Behavior Technician based in Winston Salem, North Carolina. Lara Brickhouse is licensed to practice in * (Not Available) (license number ) and her current practice location is
3000 Bethesda Pl Ste 202, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 751-0518.
NPI number for Lara Brickhouse is 1639660186 and her current mailing address is 3851 Dunhagan Rd Ste 102, Greenville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639660186.
Healthcare Provider's Profile
Full Name | Lara Brickhouse |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 3000 Bethesda Pl Ste 202, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639660186
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 05/21/2018
Medical Identifiers
Medical identifiers for Lara Brickhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639660186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lara Brickhouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lara Brickhouse, 3851 Dunhagan Rd Ste 102, Greenville, NC 27858-6640 Ph: (252) 751-0518 | Lara Brickhouse, 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103-3324 Ph: (252) 751-0518 |
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