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318 Turnersburg Hwy Statesville NC 28625-2798 | |
| (704) 402-1060 | |
| (704) 402-1065 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 318 Turnersburg Hwy, Statesville, North Carolina |
| Authorized Official Name and Position | Lisa G Sullivan (DIRECTOR OF SUPPORT SERVICES) |
| Authorized Official Contact | 9197849182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
134 Wind Chime Ct Raleigh NC 27615-6433 Ph: (919) 784-9182 | 318 Turnersburg Hwy Statesville NC 28625-2798 Ph: (704) 402-1060 |
| NPI Number | 1144382086 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144382086 | NPI | - | NPPES |
| 5902828 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Behavioral Healthcare & Memory Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215b W Broad St, Statesville, NC 28677 Phone: 704-878-8884 Fax: 704-878-8883 | |
Hopewell Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Center St Ste 116, Statesville, NC 28677 Phone: 704-325-9654 Fax: 704-973-9488 | |
Iredell County Dss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Eastside Dr, Statesville, NC 28625 Phone: 704-873-5631 Fax: 704-871-3489 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St, Statesville, NC 28677 Phone: 800-866-0860 |