Ritchie D Puckett, LCAS-A | |
847 W Lake Dr, Mount Airy, NC 27030-2157 | |
(336) 783-6919 | |
Not Available |
Full Name | Ritchie D Puckett |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 847 W Lake Dr, Mount Airy, 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 |
---|---|---|---|
1093198954 | NPI | - | NPPES |
LCAS-21887 | Medicaid | NC |
Entity Name | Daymark Recovery Services Inc |
---|---|
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 |
---|---|
Ritchie D Puckett, LCAS-A 284 Executive Park Dr. Suite 100, Concord, NC 28025-1894 Ph: (704) 939-1100 | Ritchie D Puckett, LCAS-A 847 W Lake Dr, Mount Airy, NC 27030-2157 Ph: (336) 783-6919 |
Kristy L Silman, LMHC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Johnson Creek Rd, Mount Airy, NC 27030 Phone: 336-756-7026 | |
Michelle J Hawks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 N Renfro St, Mount Airy, NC 27030 Phone: 336-528-1859 | |
Jacob Long, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Gene Hill Rd, Mount Airy, NC 27030 Phone: 336-553-8147 | |
Debra Allison Smeltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 | |
Stephanie Puckett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
Amanda Fields Moncus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 |