| Carolina Behavioral Health Solutions | |
|
2949 Audrey Dr Gastonia NC 28054-7269 | |
| (803) 616-6587 | |
| Not Available |
| Full Name | Carolina Behavioral Health Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2949 Audrey Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Jeremy Massey (PRESIDENT) |
| Authorized Official Contact | 8036166587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Behavioral Health Solutions 1531 Meadow Glen Ln Rock Hill SC 29730-7486 Ph: (803) 616-6587 | Carolina Behavioral Health Solutions 2949 Audrey Dr Gastonia NC 28054-7269 Ph: (803) 616-6587 |
| NPI Number | 1932720034 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 6507205663 |
|---|---|
| Medicare Enrollment ID | O20240423000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932720034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jeremy Massey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780089128 PECOS PAC ID: 7315386471 Enrollment ID: I20240423000013 |
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