| Alberta Professional Services, Inc | |
|
3107 S Elm Eugene St Ste A Greensboro NC 27406-5298 | |
| (336) 273-2640 | |
| (336) 273-6522 |
| Full Name | Alberta Professional Services, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3107 S Elm Eugene St Ste A, Greensboro, North Carolina |
| Authorized Official Name and Position | Tamonika Harvey (BILLING DIRECTOR) |
| Authorized Official Contact | 3362732640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alberta Professional Services, Inc Po Box 14884 Greensboro NC 27415-4884 Ph: (336) 273-2640 | Alberta Professional Services, Inc 3107 S Elm Eugene St Ste A Greensboro NC 27406-5298 Ph: (336) 273-2640 |
| NPI Number | 1619613536 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619613536 | NPI | - | NPPES |
| 3418317 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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