| Carolina Brain Wellness Center Pllc | |
|
131 Charlotte Ave Ste 101b Sanford NC 27330-4363 | |
| (919) 205-8325 | |
| Not Available |
| Full Name | Carolina Brain Wellness Center Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 131 Charlotte Ave Ste 101b, Sanford, North Carolina |
| Authorized Official Name and Position | Jennifer Lynn Lundmark Richards (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9192058325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Brain Wellness Center Pllc 131 Charlotte Ave Ste 101b Sanford NC 27330-4363 Ph: (919) 205-8325 | Carolina Brain Wellness Center Pllc 131 Charlotte Ave Ste 101b Sanford NC 27330-4363 Ph: (919) 205-8325 |
| NPI Number | 1871119784 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 3476976358 |
|---|---|
| Medicare Enrollment ID | O20200710001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871119784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jennifer L. L. Richards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205129558 PECOS PAC ID: 4385067263 Enrollment ID: I20200710001175 |
| Provider Name | Kathleen Ratcliff Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154969657 PECOS PAC ID: 5193111672 Enrollment ID: I20220409000260 |
North Carolina Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321a Court Square, Sanford, NC 27330 Phone: 919-356-3625 | |
Janet A. Cheek, Msw, Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 138 S Steele St, Sanford, NC 27330 Phone: 919-776-0303 Fax: 919-776-0377 | |
Meaningful Minds Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 607 Wicker St, Sanford, NC 27330 Phone: 919-895-8598 | |
Nc Mentor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Carthage St, Suite 302, Sanford, NC 27330 Phone: 919-790-8580 Fax: 919-790-8065 | |
Swanzetta J. Stevenson,lcsw,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Court Sq, Sanford, NC 27330 Phone: 252-548-1510 | |
Baptist Hospital Carenet Counseling Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Buckhorn Rd, Sanford, NC 27330 Phone: 910-897-8930 Fax: 910-897-8932 | |
Time To Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Wicker St, Sanford, NC 27330 Phone: 919-777-9025 Fax: 919-777-9026 |