Affiliated Sante Group Dba Crisys | |
810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 | |
(704) 566-3410 | |
(301) 572-5062 |
Full Name | Affiliated Sante Group Dba Crisys |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 810 Tyvola Rd. Ste. 126, Charlotee, North Carolina |
Authorized Official Name and Position | Michelle Grigsby-hackett (CEO) |
Authorized Official Contact | 3015726358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Affiliated Sante Group Dba Crisys 810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 Ph: (704) 566-3410 | Affiliated Sante Group Dba Crisys 810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 Ph: (704) 566-3410 |
NPI Number | 1700929940 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 01/11/2023 |
Certification Date | 01/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700929940 | NPI | - | NPPES |
8301491 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |