| Behavioral Health Solution Of The Carolinas Llc | |
|
9711 David Taylor Dr Apt 204 Charlotte NC 28262-2370 | |
| (980) 949-6846 | |
| Not Available |
| Full Name | Behavioral Health Solution Of The Carolinas Llc |
|---|---|
| Speciality | Counselor |
| Location | 9711 David Taylor Dr Apt 204, Charlotte, North Carolina |
| Authorized Official Name and Position | Angela Greene (OWNER) |
| Authorized Official Contact | 8035866918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solution Of The Carolinas Llc 1565 Ebenezer Rd Ste 140 Rock Hill SC 29732-2494 Ph: (803) 504-1747 | Behavioral Health Solution Of The Carolinas Llc 9711 David Taylor Dr Apt 204 Charlotte NC 28262-2370 Ph: (980) 949-6846 |
| NPI Number | 1437782935 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Medicare PECOS PAC ID | 7416370028 |
|---|---|
| Medicare Enrollment ID | O20200714003123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437782935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Angela Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912246554 PECOS PAC ID: 6305106394 Enrollment ID: I20180213001062 |
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