| Amara Wellness Services, Inc | |
|
5108 Reagan Dr Ste 9 Charlotte NC 28206-1394 | |
| (704) 567-0790 | |
| (833) 834-2555 |
| Full Name | Amara Wellness Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5108 Reagan Dr Ste 9, Charlotte, North Carolina |
| Authorized Official Name and Position | Erica Corbin (PRESIDENT) |
| Authorized Official Contact | 7043197601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amara Wellness Services, Inc Po Box 32301 Charlotte NC 28232-2301 Ph: (704) 567-0790 | Amara Wellness Services, Inc 5108 Reagan Dr Ste 9 Charlotte NC 28206-1394 Ph: (704) 567-0790 |
| NPI Number | 1063039253 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 6901341569 |
|---|---|
| Medicare Enrollment ID | O20240709000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063039253 | NPI | - | NPPES |
| Provider Name | Ramesh Gihwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447200183 PECOS PAC ID: 0840233193 Enrollment ID: I20050608001064 |
| Provider Name | Rita Nkem Agunobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205374865 PECOS PAC ID: 6608131602 Enrollment ID: I20180522001698 |
| Provider Name | Tamara A Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841681558 PECOS PAC ID: 7810325016 Enrollment ID: I20200323001703 |
| Provider Name | Orrin Anthony Bynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588218648 PECOS PAC ID: 6800327321 Enrollment ID: I20241008000826 |
| Provider Name | Jusu Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962199034 PECOS PAC ID: 8123464450 Enrollment ID: I20241101002796 |
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