| Anuvia Prevention & Recovery, Center, Inc. | |
|
100 Billingsley Rd Charlotte NC 28211-1002 | |
| (704) 376-7447 | |
| (704) 376-2172 |
| Full Name | Anuvia Prevention & Recovery, Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 Billingsley Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Larry Snider (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7043767447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anuvia Prevention & Recovery, Center, Inc. 100 Billingsley Rd Charlotte NC 28211-1002 Ph: (704) 376-7447 | Anuvia Prevention & Recovery, Center, Inc. 100 Billingsley Rd Charlotte NC 28211-1002 Ph: (704) 376-7447 |
| NPI Number | 1093756819 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6507159084 |
|---|---|
| Medicare Enrollment ID | O20160720002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093756819 | NPI | - | NPPES |
| 6005408 | Medicaid | NC | |
| 00362 | Other | NC | BLUE CROSS/BLUE SHIELD (BCBS) |
| 8300345 | Medicaid | NC |
| Provider Name | Maryann Traxler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336131366 PECOS PAC ID: 7416995832 Enrollment ID: I20050418000547 |
| Provider Name | Helen B Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679580278 PECOS PAC ID: 7618916149 Enrollment ID: I20050425001216 |
| Provider Name | Robert R Jolley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619986742 PECOS PAC ID: 9335338896 Enrollment ID: I20110113001172 |
| Provider Name | Danashia A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912215898 PECOS PAC ID: 5698904415 Enrollment ID: I20140127001087 |
| Provider Name | Erica Lashawn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184767915 PECOS PAC ID: 5092026369 Enrollment ID: I20150613000128 |
| Provider Name | Elizabeth Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386974400 PECOS PAC ID: 3971634817 Enrollment ID: I20191104002181 |
| Provider Name | Laura Mae Love-garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073019253 PECOS PAC ID: 2961812268 Enrollment ID: I20201027002099 |
| Provider Name | Autumn S Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063068781 PECOS PAC ID: 7517363476 Enrollment ID: I20210901002391 |
| Provider Name | Margaret Mendenhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558837047 PECOS PAC ID: 2466822762 Enrollment ID: I20230103000600 |
| Provider Name | Heather Faye Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154823888 PECOS PAC ID: 3274907464 Enrollment ID: I20230330001909 |
| Provider Name | Justin M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144776741 PECOS PAC ID: 4486004736 Enrollment ID: I20231228001848 |
| Provider Name | Joanna Florano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649675935 PECOS PAC ID: 6002269925 Enrollment ID: I20240126003587 |
| Provider Name | Christie M Whisenant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205185238 PECOS PAC ID: 8527402163 Enrollment ID: I20240222000303 |
| Provider Name | Briana Samone Partlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902476492 PECOS PAC ID: 5294179701 Enrollment ID: I20240222003095 |
| Provider Name | Kate Louise Bastida |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801243829 PECOS PAC ID: 9032554449 Enrollment ID: I20240226001156 |
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