| Capstone Wellness Center | |
|
115 Atwood St Sparta NC 28675-9299 | |
| (336) 467-0489 | |
| Not Available |
| Full Name | Capstone Wellness Center |
|---|---|
| Speciality | Counselor |
| Location | 115 Atwood St, Sparta, North Carolina |
| Authorized Official Name and Position | Patricia Andrews (OWNER) |
| Authorized Official Contact | 3364670489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capstone Wellness Center Po Box 192 Sparta NC 28675-0192 Ph: (336) 467-0489 | Capstone Wellness Center 115 Atwood St Sparta NC 28675-9299 Ph: (336) 467-0489 |
| NPI Number | 1780008870 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 9133482383 |
|---|---|
| Medicare Enrollment ID | O20180423000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780008870 | NPI | - | NPPES |
| 1780008870 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3453 (North Carolina) | Secondary |
| Provider Name | Amanda Taylor Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235408246 PECOS PAC ID: 1658512330 Enrollment ID: I20130723000159 |
| Provider Name | Georgie M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821065814 PECOS PAC ID: 8123457165 Enrollment ID: I20200326002238 |
| Provider Name | Sandra Lynne Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780651927 PECOS PAC ID: 7719338714 Enrollment ID: I20240103003602 |
| Provider Name | Patricia Poovey Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811965072 PECOS PAC ID: 5193827723 Enrollment ID: I20240214001665 |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis St, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 | |
New River Service Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28640 Phone: 336-372-4095 | |
Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 N Main St, Sparta, NC 28675 Phone: 336-372-6083 | |
Itherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Atwood St, Sparta, NC 28675 Phone: 828-964-8790 | |
Samual C. Evans Jr Group Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Estep Street, Sparta, NC 28675 Phone: 336-372-5671 Fax: 336-372-5672 |