| Carolina Choice Llc | |
|
114 N Spruce Street Wilson NC 27893-0000 | |
| (252) 234-0200 | |
| (252) 633-1548 |
| Full Name | Carolina Choice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 114 N Spruce Street, Wilson, North Carolina |
| Authorized Official Name and Position | Lindsey Schmidt (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 114 N Spruce Street Wilson NC 27893-0000 Ph: (252) 234-0200 |
| NPI Number | 1770619744 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770619744 | NPI | - | NPPES |
| 8300912R | Medicaid | NC | |
| 8300912H | Medicaid | NC | |
| 8300912 | Medicaid | NC | |
| 8300912B | 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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