| Bridging Legacies | |
|
125 Killis Blvd Richlands NC 28574-6397 | |
| (910) 467-6645 | |
| Not Available |
| Full Name | Bridging Legacies |
|---|---|
| Speciality | Social Worker |
| Location | 125 Killis Blvd, Richlands, North Carolina |
| Authorized Official Name and Position | Tiara Hedgepeth (DIRECTOR) |
| Authorized Official Contact | 9104676645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Legacies 125 Killis Blvd Richlands NC 28574-6397 Ph: () - | Bridging Legacies 125 Killis Blvd Richlands NC 28574-6397 Ph: (910) 467-6645 |
| NPI Number | 1386153286 |
|---|---|
| Provider Enumeration Date | 09/22/2017 |
| Last Update Date | 09/22/2017 |
| Medicare PECOS PAC ID | 4284993452 |
|---|---|
| Medicare Enrollment ID | O20180116000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386153286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Kenyada Maye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255762209 PECOS PAC ID: 0547529711 Enrollment ID: I20180116000084 |
| Provider Name | Jessica Dare Barrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093110942 PECOS PAC ID: 7911245691 Enrollment ID: I20190206000028 |
Oasis Treatment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Cow Horn Rd, Richlands, NC 28574 Phone: 252-686-1505 | |
Meeting Milestones Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Onslow St, Richlands, NC 28574 Phone: 252-717-0216 |