| Array Of Brighter Beginnings Inc | |
|
813 S Oakland St Ste A Gastonia NC 28054-0474 | |
| (704) 215-6896 | |
| (704) 671-2694 |
| Full Name | Array Of Brighter Beginnings Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 813 S Oakland St Ste A, Gastonia, North Carolina |
| Authorized Official Name and Position | Carlos Webb (EXECUTIVE OFFFICER) |
| Authorized Official Contact | 7042156896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Array Of Brighter Beginnings Inc 813 S Oakland St Ste A Gastonia NC 28054-0474 Ph: (704) 215-6896 | Array Of Brighter Beginnings Inc 813 S Oakland St Ste A Gastonia NC 28054-0474 Ph: (704) 215-6896 |
| NPI Number | 1760808422 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 7517244213 |
|---|---|
| Medicare Enrollment ID | O20170508000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760808422 | NPI | - | NPPES |
| NPB762 | Medicaid | SC | |
| 60054 | Other | NC | AETNA |
| 176080 | Medicaid | NC | |
| 60054 | Other | SC | AETNA |
| Provider Name | Jamie L Vaughn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740528215 PECOS PAC ID: 8921246745 Enrollment ID: I20130605000753 |
| Provider Name | Nicole M Peacock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831428523 PECOS PAC ID: 8527354836 Enrollment ID: I20160913002381 |
| Provider Name | Lanesha Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033519160 PECOS PAC ID: 2062799760 Enrollment ID: I20170525000139 |
| Provider Name | Jeffrey Lorence |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285859983 PECOS PAC ID: 5395011910 Enrollment ID: I20171026002938 |
| Provider Name | Patricia A Krikorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124302849 PECOS PAC ID: 5991066763 Enrollment ID: I20180220000592 |
| Provider Name | Janice M Brovet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225168107 PECOS PAC ID: 5496715807 Enrollment ID: I20180811000257 |
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