| Clarvida | |
|
8390 Six Forks Rd Ste 201 Raleigh NC 27615-3060 | |
| (828) 670-7723 | |
| (828) 670-7727 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8390 Six Forks Rd Ste 201, Raleigh, North Carolina |
| Authorized Official Name and Position | Melissa Kay Hedden (CONTRACT MANAGER) |
| Authorized Official Contact | 8282877945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 10304 Spotsylvania Ave Ste 300 Fredericksburg VA 22408-8605 Ph: (540) 710-6085 | Clarvida 8390 Six Forks Rd Ste 201 Raleigh NC 27615-3060 Ph: (828) 670-7723 |
| NPI Number | 1285246991 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 8123477064 |
|---|---|
| Medicare Enrollment ID | O20231218001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285246991 | NPI | - | NPPES |
| Provider Name | James E Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659402139 PECOS PAC ID: 5294860706 Enrollment ID: I20100322000785 |
| Provider Name | Alisha S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396084 PECOS PAC ID: 0749417574 Enrollment ID: I20131226000233 |
| Provider Name | Megan M Reilly Buser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902296072 PECOS PAC ID: 6002119575 Enrollment ID: I20160119000205 |
| Provider Name | Peresia Tarona Commodore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578999504 PECOS PAC ID: 2769833995 Enrollment ID: I20240111003121 |
| Provider Name | Robert Stuart Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871845834 PECOS PAC ID: 0840642609 Enrollment ID: I20240117001484 |
| Provider Name | Angela Riley Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285171785 PECOS PAC ID: 1355793563 Enrollment ID: I20240123002719 |
| Provider Name | Ashley S Worley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689101032 PECOS PAC ID: 1153773395 Enrollment ID: I20240123003987 |
| Provider Name | Stephanie Huza Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174992879 PECOS PAC ID: 9931552429 Enrollment ID: I20240131004205 |
| Provider Name | Anna Marie Colvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952990517 PECOS PAC ID: 4385087147 Enrollment ID: I20240208001837 |
| Provider Name | Nancy Ann Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184666240 PECOS PAC ID: 9436593258 Enrollment ID: I20240220004805 |
| Provider Name | Virginia Ivey Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932270220 PECOS PAC ID: 0840634473 Enrollment ID: I20240222000153 |
| Provider Name | Paula Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437513538 PECOS PAC ID: 3173969136 Enrollment ID: I20240312004058 |
| Provider Name | Tristan Bryant Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558934182 PECOS PAC ID: 5092154872 Enrollment ID: I20240412000954 |
| Provider Name | Brittany Michelle Shook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578169983 PECOS PAC ID: 1254772098 Enrollment ID: I20240510003379 |
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Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
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