Reinatou Sadou, LCMHCA | |
131 Plant St, Walnut Cove, NC 27052-9223 | |
(336) 536-1024 | |
Not Available |
Full Name | Reinatou Sadou |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 131 Plant St, Walnut Cove, 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 |
---|---|---|---|
1174205389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A19004 (North Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
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Reinatou Sadou, LCMHCA 3520 Drawbridge Pkwy Apt 102o, Greensboro, NC 27410-8456 Ph: (929) 485-7098 | Reinatou Sadou, LCMHCA 131 Plant St, Walnut Cove, NC 27052-9223 Ph: (336) 536-1024 |
Linda Faye Staten, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Walnut Cove, NC 27052 Phone: 336-310-6727 | |
Gary Robert Atkins, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 N Main St, Walnut Cove, NC 27052 Phone: 336-753-2655 | |
Heather Cashion Frazier, LCMHC; LCASA Counselor Medicare: Medicare Enrolled Practice Location: 522 N Main St, Walnut Cove, NC 27052 Phone: 336-753-2655 |