| Baptist Hospital Carenet Counseling Centers | |
|
805 Westmont Dr Fayetteville NC 28305-4555 | |
| (910) 484-4061 | |
| (910) 485-4069 |
| Full Name | Baptist Hospital Carenet Counseling Centers |
|---|---|
| Speciality | Counselor |
| Location | 805 Westmont Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Steven N. Scoggin (PRESIDENT) |
| Authorized Official Contact | 3367167578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Hospital Carenet Counseling Centers 805 Westmont Dr Fayetteville NC 28305-4555 Ph: (910) 484-4061 | Baptist Hospital Carenet Counseling Centers 805 Westmont Dr Fayetteville NC 28305-4555 Ph: (910) 484-4061 |
| NPI Number | 1811167208 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Medicare PECOS PAC ID | 6406845262 |
|---|---|
| Medicare Enrollment ID | O20040507001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811167208 | NPI | - | NPPES |
| 6103661 | Medicaid | NC | |
| 6002808 | Medicaid | NC | |
| 6103781 | Medicaid | NC | |
| 6111965 | Medicaid | NC | |
| 6006368 | Medicaid | NC | |
| 6000425 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Robert J Ritzema |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770612657 PECOS PAC ID: 9234303637 Enrollment ID: I20111122000000 |
| Provider Name | Pius N Nyutu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295007920 PECOS PAC ID: 0941453740 Enrollment ID: I20130103000154 |
| Provider Name | Mei-chuan Wang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184943003 PECOS PAC ID: 4284865445 Enrollment ID: I20140401001459 |
| Provider Name | Terry L Tackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396829164 PECOS PAC ID: 1153597018 Enrollment ID: I20150325002372 |
| Provider Name | Garlande C Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205070489 PECOS PAC ID: 9739465592 Enrollment ID: I20170410000834 |
| Provider Name | Aquita L Burrus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730562505 PECOS PAC ID: 9436499878 Enrollment ID: I20190320002818 |
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