| Carolina Choice Llc | |
|
5353 Red Tip Rd Suite 111 & 112 Fayetteville NC 28314-0255 | |
| (910) 485-0330 | |
| (910) 482-0330 |
| Full Name | Carolina Choice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5353 Red Tip Rd, Fayetteville, 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 5353 Red Tip Rd Suite 111 & 112 Fayetteville NC 28314-0255 Ph: (910) 485-0330 |
| NPI Number | 1700039104 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700039104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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