Carolina Choice Llc | |
101 W Elizabeth St Clinton NC 28328-4021 | |
(910) 590-2616 | |
(910) 590-2622 |
Full Name | Carolina Choice Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 101 W Elizabeth St, Clinton, North Carolina |
Authorized Official Name and Position | Donna Simon (BILLING OFFICER) |
Authorized Official Contact | 2526333855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolina Choice Llc Po Box 12189 New Bern NC 28561-2189 Ph: (252) 633-3855 | Carolina Choice Llc 101 W Elizabeth St Clinton NC 28328-4021 Ph: (910) 590-2616 |
NPI Number | 1265568240 |
---|---|
Provider Enumeration Date | 02/26/2007 |
Last Update Date | 09/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265568240 | NPI | - | NPPES |
8301192R | Medicaid | NC | |
8301192B | Medicaid | NC | |
8301192H | Medicaid | NC | |
8301192 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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