Ms Caitlin Lane Faulk, LCMHC, LCAS | |
120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | |
(910) 754-4515 | |
Not Available |
Full Name | Ms Caitlin Lane Faulk |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 120 Coastal Horizons Dr, Shallotte, 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 |
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1497191050 | NPI | - | NPPES |
Entity Name | Ase Ltc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962182881 PECOS PAC ID: 8224571385 Enrollment ID: O20240617003232 |
Mailing Address | Practice Location Address |
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Ms Caitlin Lane Faulk, LCMHC, LCAS 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Ms Caitlin Lane Faulk, LCMHC, LCAS 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515 |
Brooke Simpson, LCMHCA Counselor Medicare: Medicare Enrolled Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Dr. Linda Sue Rieth, PHD, LPCA, AFC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Mrs. Evelyn Margaret Thomas, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 | |
Sarah Spell, LCSWA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS, Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-251-5324 | |
Samantha Sessoms, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-341-5779 | |
Kelleyanne Helene Lonergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-617-0222 |