Carolina Choice Llc | |
2117 S Glenburnie Rd Suite 15-16 New Bern NC 28562-2280 | |
(252) 633-3855 | |
(252) 633-1548 |
Full Name | Carolina Choice Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2117 S Glenburnie Rd, New Bern, 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 2117 S Glenburnie Rd Suite 15-16 New Bern NC 28562-2280 Ph: (252) 633-3855 |
NPI Number | 1891948295 |
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Provider Enumeration Date | 10/29/2008 |
Last Update Date | 09/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891948295 | NPI | - | NPPES |
6006562 | 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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