| Advantage Psychiatry & Counseling | |
|
1003 Old Waterford Way Ste 1c Leland NC 28451-4102 | |
| (910) 371-1007 | |
| (910) 371-6003 |
| Full Name | Advantage Psychiatry & Counseling |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 1003 Old Waterford Way, Leland, North Carolina |
| Authorized Official Name and Position | Russell Herring (CEO) |
| Authorized Official Contact | 9103711007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Psychiatry & Counseling 1003 Old Waterford Way Ste 1c Leland NC 28451-4102 Ph: (910) 371-1007 | Advantage Psychiatry & Counseling 1003 Old Waterford Way Ste 1c Leland NC 28451-4102 Ph: (910) 371-1007 |
| NPI Number | 1508801663 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508801663 | NPI | - | NPPES |
| 139H9 | Other | NC | BCBS GROUP |
| 141MV | Other | NC | BCBS GROUP |
| 6005840 | Medicaid | NC | |
| 5900767 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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