| Community Support Specialists, Llc | |
|
1316 S 16th St Wilmington NC 28401-6422 | |
| (910) 763-3644 | |
| (910) 763-3634 |
| Full Name | Community Support Specialists, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1316 S 16th St, Wilmington, North Carolina |
| Authorized Official Name and Position | Annie Della Kenion (DIRECTOR/QUALIFIED PROFESSIONAL) |
| Authorized Official Contact | 9107633644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Specialists, Llc 1316 S 16th St Wilmington NC 28401-6422 Ph: (910) 763-3644 | Community Support Specialists, Llc 1316 S 16th St Wilmington NC 28401-6422 Ph: (910) 763-3644 |
| NPI Number | 1992997167 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992997167 | NPI | - | NPPES |
| 6106835 | Medicaid | NC | |
| 89138HR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mqa Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Westchester Rd, Wilmington, NC 28409 Phone: 202-658-6337 | |
Coastal Horizons Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-790-0187 Fax: 910-790-0189 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Queen St Ste 3, Wilmington, NC 28401 Phone: 919-790-8580 | |
Crystal River Psychiatric, Grp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2595 S 17th St, Wilmington, NC 28401 Phone: 910-799-2283 Fax: 910-791-9227 | |
Compass Rose Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 108, Wilmington, NC 28401 Phone: 910-233-1878 | |
Cultivate Wellness Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3807 Wrightsville Ave Ste 24, Wilmington, NC 28403 Phone: 910-902-9293 Fax: 910-778-1156 | |
The Healing Point, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 Randall Pkwy Ste 128, Wilmington, NC 28403 Phone: 910-338-9093 |