| Creative Minds Healthcare Pllc | |
|
2829 Arlington Ave Fayetteville NC 28303-5403 | |
| (910) 676-8019 | |
| Not Available |
| Full Name | Creative Minds Healthcare Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2829 Arlington Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Eric Lucian Hall (CEO) |
| Authorized Official Contact | 9104619291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Minds Healthcare Pllc 3813 Shire St Hope Mills NC 28348-2995 Ph: (910) 676-8019 | Creative Minds Healthcare Pllc 2829 Arlington Ave Fayetteville NC 28303-5403 Ph: (910) 676-8019 |
| NPI Number | 1801526116 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 5698132827 |
|---|---|
| Medicare Enrollment ID | O20230602002669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526116 | NPI | - | NPPES |
| Provider Name | Eric Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154843654 PECOS PAC ID: 6507223732 Enrollment ID: I20230602002692 |
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