Building Healthy Minds, Llc | |
515 N George St Goldsboro NC 27530-2724 | |
(910) 990-4658 | |
Not Available |
Full Name | Building Healthy Minds, Llc |
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Speciality | Community/Behavioral Health |
Location | 515 N George St, Goldsboro, North Carolina |
Authorized Official Name and Position | Christina Danielle Dixon (MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 9109904658 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Building Healthy Minds, Llc 103 Karrie Ann Pl Pikeville NC 27863-9587 Ph: (910) 990-4658 | Building Healthy Minds, Llc 515 N George St Goldsboro NC 27530-2724 Ph: (910) 990-4658 |
NPI Number | 1659837383 |
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Provider Enumeration Date | 02/19/2019 |
Last Update Date | 02/19/2019 |
Medicare PECOS PAC ID | 8527455054 |
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Medicare Enrollment ID | O20220429002170 |
Identifier | Type | State | Issuer |
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1659837383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Krystal Scott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891048369 PECOS PAC ID: 9436546967 Enrollment ID: I20220514000347 |
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