Mr Mark S Sudekum, LCAS; LCSW | |
2602 Courtier Dr, Greenville, NC 27834-7818 | |
(252) 752-0483 | |
(252) 757-3172 |
Full Name | Mr Mark S Sudekum |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 2602 Courtier Dr, Greenville, North Carolina |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497077861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1578 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eventus Wholehealth Pllc | 6002169539 | 252 |
Entity Name | Eventus Wholehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark S Sudekum, LCAS; LCSW 4300 Sapphire Ct Ste 110, Greenville, NC 27834-9079 Ph: (252) 830-7561 | Mr Mark S Sudekum, LCAS; LCSW 2602 Courtier Dr, Greenville, NC 27834-7818 Ph: (252) 752-0483 |
Ms. Celeste S Crawford, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 W Ragsdale Rd, Greenville, NC 27858 Phone: 252-341-8233 | |
Erica M Little, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 Charles Blvd, Greenville, NC 27858 Phone: 252-215-5700 Fax: 252-215-5701 | |
Lynn Battle Owens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Ct Ste A, Greenville, NC 27858 Phone: 252-347-8058 | |
Jasmine Bombard Martinez, Counselor Medicare: Medicare Enrolled Practice Location: 231 Commerce St, Greenville, NC 27858 Phone: 252-321-8080 Fax: 252-321-7999 | |
Dr. Nathalie Diona Mizelle-johnson, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Evans St, Suite B, Greenville, NC 27834 Phone: 252-756-7848 | |
Mr. Bryan Crisp, LMFT, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Court, Suite A, Greenville, NC 27858 Phone: 252-413-8890 Fax: 252-756-7533 | |
James Arthur Coulter, MSW, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6a Doctor's Park, Greenville, NC 27834 Phone: 252-744-4500 Fax: 252-744-3472 |