| |
625 N Carolina Ave Trlr 1 Statesville NC 28677-3330 | |
(704) 832-2200 | |
(704) 838-1541 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 625 N Carolina Ave Trlr 1, Statesville, North Carolina |
Authorized Official Name and Position | Celeste Inez Dominguez (PRESIDENT/CEO) |
Authorized Official Contact | 7048732211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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194 Barium Springs Dr Statesville NC 28677-8453 Ph: (704) 832-2200 | 625 N Carolina Ave Trlr 1 Statesville NC 28677-3330 Ph: (704) 832-2200 |
NPI Number | 1154448439 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 02/08/2023 |
Certification Date | 02/08/2023 |
Identifier | Type | State | Issuer |
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1154448439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | MHL049085 (North Carolina) | 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 |