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329 Nc Highway 801 N Bermuda Run NC 27006-7905 | |
| (336) 716-0855 | |
| (336) 716-0822 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 329 Nc Highway 801 N, Bermuda Run, North Carolina |
| Authorized Official Name and Position | Steven N Scoggin (PRESIDENT) |
| Authorized Official Contact | 3367167578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
329 Nc Highway 801 N Bermuda Run NC 27006-7905 Ph: (336) 716-0855 | 329 Nc Highway 801 N Bermuda Run NC 27006-7905 Ph: (336) 716-0855 |
| NPI Number | 1568976108 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568976108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |