| Behavioral Health Solutions, Pa | |
|
1415 Highway 54 West Suite 111 Durham NC 27707-5597 | |
| (919) 419-0524 | |
| (919) 419-9651 |
| Full Name | Behavioral Health Solutions, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1415 Highway 54 West, Durham, North Carolina |
| Authorized Official Name and Position | Keith R Hersh (VICE PRESIDENT) |
| Authorized Official Contact | 9194190524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solutions, Pa 1415 Highway 54 West Suite 111 Durham NC 27707-5597 Ph: (919) 419-0524 | Behavioral Health Solutions, Pa 1415 Highway 54 West Suite 111 Durham NC 27707-5597 Ph: (919) 419-0524 |
| NPI Number | 1831130046 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921256769 |
|---|---|
| Medicare Enrollment ID | O20120919000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831130046 | NPI | - | NPPES |
| 6000480 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2693 (North Carolina) | Primary |
| Provider Name | Lauri B Warren-tignor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891716270 PECOS PAC ID: 5294742656 Enrollment ID: I20060310000126 |
| Provider Name | Keith R Hersh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942216148 PECOS PAC ID: 7416108956 Enrollment ID: I20121110000099 |
| Provider Name | Jane Hollings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114253762 PECOS PAC ID: 5698115426 Enrollment ID: I20240426002863 |
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