| Carolina Choice Llc | |
|
3300 Trent Rd New Bern NC 28562-5703 | |
| (252) 633-2587 | |
| (252) 633-1612 |
| Full Name | Carolina Choice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3300 Trent 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 3300 Trent Rd New Bern NC 28562-5703 Ph: (252) 633-2587 |
| NPI Number | 1912034299 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912034299 | NPI | - | NPPES |
| 8300923 | Medicaid | NC | |
| 8300923R | 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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