C&m Behavioral Health, Pllc | |
1704 Highway 158 Roanoke Rapids NC 27870 | |
(252) 537-2273 | |
(252) 537-2278 |
Full Name | C&m Behavioral Health, Pllc |
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Speciality | Community/Behavioral Health |
Location | 1704 Highway 158, Roanoke Rapids, North Carolina |
Authorized Official Name and Position | Stacie Michelle Medlin (OWNER/PRESIDENT) |
Authorized Official Contact | 2525781986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
C&m Behavioral Health, Pllc 1704 Highway 158 Roanoke Rapids NC 27870 Ph: (252) 537-2273 | C&m Behavioral Health, Pllc 1704 Highway 158 Roanoke Rapids NC 27870 Ph: (252) 537-2273 |
NPI Number | 1801222070 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 02/13/2014 |
Medicare PECOS PAC ID | 5991933343 |
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Medicare Enrollment ID | O20140111000105 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801222070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | C008329 (North Carolina) | Primary |
Provider Name | Karlus C Artis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649386632 PECOS PAC ID: 0749214328 Enrollment ID: I20050922000949 |
Provider Name | Stacie Michelle Medlin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013293182 PECOS PAC ID: 4789788985 Enrollment ID: I20140111000124 |
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