| Daymark Recovery Services, Inc. | |
|
284 Executive Park Drive Suite 100 Concord NC 28025-1894 | |
| (704) 939-1100 | |
| (704) 939-1173 |
| Full Name | Daymark Recovery Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 284 Executive Park Drive, Concord, North Carolina |
| Authorized Official Name and Position | Billy R West (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7049391133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daymark Recovery Services, Inc. 284 Executive Park Drive Suite 100 Concord NC 28025-1894 Ph: (704) 939-1100 | Daymark Recovery Services, Inc. 284 Executive Park Drive Suite 100 Concord NC 28025-1894 Ph: (704) 939-1100 |
| NPI Number | 1558329243 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0547233975 |
|---|---|
| Medicare Enrollment ID | O20040814000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558329243 | NPI | - | NPPES |
| 6005370 | Medicaid | NC |
| Provider Name | Murray G Hawkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619945698 PECOS PAC ID: 8628054715 Enrollment ID: I20040629000270 |
| Provider Name | Denise W Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154693877 PECOS PAC ID: 2365422953 Enrollment ID: I20040723000473 |
| Provider Name | Joumana H Hassani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538105481 PECOS PAC ID: 8628043916 Enrollment ID: I20040831000316 |
| Provider Name | Ilanti D Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063428399 PECOS PAC ID: 7719954668 Enrollment ID: I20040911000043 |
| Provider Name | Linda J Wanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225044555 PECOS PAC ID: 7416924378 Enrollment ID: I20040911000075 |
| Provider Name | Lisa J Brandyberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760499156 PECOS PAC ID: 9537136627 Enrollment ID: I20040916001174 |
| Provider Name | Kyle Y Long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609814391 PECOS PAC ID: 5597733469 Enrollment ID: I20040918000116 |
| Provider Name | Chin-ho T Pak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386721470 PECOS PAC ID: 5991774150 Enrollment ID: I20040925000155 |
| Provider Name | Marjorie Lynn Carlstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013959162 PECOS PAC ID: 5294704722 Enrollment ID: I20040930000647 |
| Provider Name | Lynn E Wesson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558415190 PECOS PAC ID: 1456311737 Enrollment ID: I20041012000612 |
| Provider Name | Giuliana G Gage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780638288 PECOS PAC ID: 2961462080 Enrollment ID: I20041013000983 |
| Provider Name | Darlene E Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528088176 PECOS PAC ID: 0648231290 Enrollment ID: I20041026000867 |
| Provider Name | William R Lay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982648788 PECOS PAC ID: 1951363746 Enrollment ID: I20041103000621 |
| Provider Name | Lacy H Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030792 PECOS PAC ID: 1355303025 Enrollment ID: I20041103001316 |
| Provider Name | Paul M Kocsis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821041880 PECOS PAC ID: 1456314053 Enrollment ID: I20041104000993 |
| Provider Name | Devendra C Shah |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164418125 PECOS PAC ID: 7517921646 Enrollment ID: I20041117000930 |
| Provider Name | Dana D Stiles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407948912 PECOS PAC ID: 0446214464 Enrollment ID: I20041118000413 |
| Provider Name | Geri L Snoke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184726523 PECOS PAC ID: 5991761678 Enrollment ID: I20041203000912 |
| Provider Name | Philip A Nofal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932139458 PECOS PAC ID: 9537119920 Enrollment ID: I20050124000718 |
| Provider Name | Laura E Longino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578608337 PECOS PAC ID: 2567407992 Enrollment ID: I20050624001101 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710921424 PECOS PAC ID: 9739115452 Enrollment ID: I20050714000250 |
| Provider Name | Nadeem Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912914300 PECOS PAC ID: 8123056678 Enrollment ID: I20050727000392 |
| Provider Name | Malti Praful Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265659965 PECOS PAC ID: 8628006970 Enrollment ID: I20050728000997 |
| Provider Name | Karen Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851361729 PECOS PAC ID: 9739118282 Enrollment ID: I20050805000166 |
| Provider Name | David B Joye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508958018 PECOS PAC ID: 3779513577 Enrollment ID: I20050820000067 |
| Provider Name | Swati S Dakoriya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417012618 PECOS PAC ID: 2567496318 Enrollment ID: I20050921001037 |
| Provider Name | Lawrence A Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285636969 PECOS PAC ID: 8123043601 Enrollment ID: I20051013000525 |
| Provider Name | Jirpesh R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669586319 PECOS PAC ID: 1355368259 Enrollment ID: I20051031000347 |
| Provider Name | Sarah Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366499386 PECOS PAC ID: 7113941675 Enrollment ID: I20060123001044 |
| Provider Name | Stephen G Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760585558 PECOS PAC ID: 3476568395 Enrollment ID: I20060214000642 |
| Provider Name | Carmellia S Bumgardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770633679 PECOS PAC ID: 5799794764 Enrollment ID: I20060419000637 |
| Provider Name | Elizabeth M Pekarek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538106638 PECOS PAC ID: 9537164454 Enrollment ID: I20060928000312 |
| Provider Name | Martha W Shuping |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245245737 PECOS PAC ID: 2668575374 Enrollment ID: I20070319000442 |
| Provider Name | David Branyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568415297 PECOS PAC ID: 4587767082 Enrollment ID: I20070320000705 |
| Provider Name | Billy R West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376622175 PECOS PAC ID: 7911970629 Enrollment ID: I20070707000042 |
| Provider Name | Tracey Lee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396826830 PECOS PAC ID: 9032184866 Enrollment ID: I20070710000403 |
| Provider Name | Nerissa M Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841402161 PECOS PAC ID: 7214038140 Enrollment ID: I20070723000492 |
| Provider Name | Theodus Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154340768 PECOS PAC ID: 6608967203 Enrollment ID: I20070810000775 |
| Provider Name | Thomas A Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366485443 PECOS PAC ID: 0749372415 Enrollment ID: I20070827000059 |
| Provider Name | Lorraine L Waguespack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689609976 PECOS PAC ID: 2769451954 Enrollment ID: I20071107000756 |
| Provider Name | Anita J Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710014022 PECOS PAC ID: 9931299807 Enrollment ID: I20071214000642 |
| Provider Name | Cheryl H Rozanov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598709206 PECOS PAC ID: 9638270218 Enrollment ID: I20080226000909 |
| Provider Name | Amy W Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588782072 PECOS PAC ID: 5193802114 Enrollment ID: I20080401000661 |
| Provider Name | Roger L Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518143817 PECOS PAC ID: 2860563780 Enrollment ID: I20080620000366 |
| Provider Name | Jason S Machalicky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912110107 PECOS PAC ID: 3870666258 Enrollment ID: I20080717000545 |
| Provider Name | Adamu Salisu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578760898 PECOS PAC ID: 1153495841 Enrollment ID: I20080729000488 |
| Provider Name | William T Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912114513 PECOS PAC ID: 9234207176 Enrollment ID: I20081006000491 |
| Provider Name | Jessica S Sawyer Horne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962520536 PECOS PAC ID: 4486722055 Enrollment ID: I20081009000125 |
| Provider Name | Anita Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184834848 PECOS PAC ID: 4486721651 Enrollment ID: I20090113000454 |
| Provider Name | Barry S Ostrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497868384 PECOS PAC ID: 3375606270 Enrollment ID: I20090120000080 |
| Provider Name | Amer Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649249038 PECOS PAC ID: 1052398435 Enrollment ID: I20090429000693 |
| Provider Name | Dawn M Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740408780 PECOS PAC ID: 1850449323 Enrollment ID: I20090511000584 |
| Provider Name | Mary E Froelich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487634192 PECOS PAC ID: 0749330611 Enrollment ID: I20090615000651 |
| Provider Name | Iverson B Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891828224 PECOS PAC ID: 4183778780 Enrollment ID: I20090817000482 |
| Provider Name | Sheritia Tijuana Faulcon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023236965 PECOS PAC ID: 6709924459 Enrollment ID: I20091117000563 |
| Provider Name | Shari Sengupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710078928 PECOS PAC ID: 6204975253 Enrollment ID: I20091203000650 |
| Provider Name | Lakshmi Sreehama Kamaraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134187040 PECOS PAC ID: 9335288323 Enrollment ID: I20091204000229 |
| Provider Name | Angela Katherine Strain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215130075 PECOS PAC ID: 0547305187 Enrollment ID: I20100306000082 |
| Provider Name | Connie Lea Calvert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770757775 PECOS PAC ID: 5799848032 Enrollment ID: I20100720000644 |
| Provider Name | David L Nickelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619081486 PECOS PAC ID: 5991837015 Enrollment ID: I20100724000062 |
| Provider Name | Travonia W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326340217 PECOS PAC ID: 1658550926 Enrollment ID: I20110119001093 |
| Provider Name | John G Wagnitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720017122 PECOS PAC ID: 9537050364 Enrollment ID: I20110127000464 |
| Provider Name | Bethany M Stalcup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104941533 PECOS PAC ID: 1355520073 Enrollment ID: I20110127000612 |
| Provider Name | Daniel F Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609011600 PECOS PAC ID: 8426110651 Enrollment ID: I20110214000546 |
| Provider Name | Frantz E Pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710168042 PECOS PAC ID: 4587844188 Enrollment ID: I20110215000405 |
| Provider Name | Kimberly D Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134181126 PECOS PAC ID: 0042491516 Enrollment ID: I20110217000192 |
| Provider Name | April M Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992008544 PECOS PAC ID: 0345423844 Enrollment ID: I20110321000938 |
| Provider Name | Joseph Benjamin Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316127517 PECOS PAC ID: 4183808785 Enrollment ID: I20110406000094 |
| Provider Name | Leesa A Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972565174 PECOS PAC ID: 1658556352 Enrollment ID: I20110422000108 |
| Provider Name | Adrian N Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013225697 PECOS PAC ID: 7012186968 Enrollment ID: I20110809000910 |
| Provider Name | Carol Minnette Gibbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174606917 PECOS PAC ID: 9739346867 Enrollment ID: I20120201000591 |
| Provider Name | Paul M Retfalvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366577975 PECOS PAC ID: 6901065382 Enrollment ID: I20120303000012 |
| Provider Name | Brenda Sue Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831372721 PECOS PAC ID: 8628238326 Enrollment ID: I20120404000011 |
| Provider Name | Rasheed Onafuye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669651667 PECOS PAC ID: 4183740160 Enrollment ID: I20120430000344 |
| Provider Name | Lois H Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245549021 PECOS PAC ID: 5294991147 Enrollment ID: I20120723000442 |
| Provider Name | Christina N Brengel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922377944 PECOS PAC ID: 0143470641 Enrollment ID: I20121018000237 |
| Provider Name | Martha S Shankle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427261239 PECOS PAC ID: 7214958164 Enrollment ID: I20121019000499 |
| Provider Name | Jacita Petway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477796316 PECOS PAC ID: 7810159027 Enrollment ID: I20121019000685 |
| Provider Name | Lillykutty A Modoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013155969 PECOS PAC ID: 0648420679 Enrollment ID: I20121026000698 |
| Provider Name | Michael C Arena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093976649 PECOS PAC ID: 9436310901 Enrollment ID: I20121029000456 |
| Provider Name | Stephen D Yount |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326188541 PECOS PAC ID: 5698926236 Enrollment ID: I20121108000189 |
| Provider Name | Kisha James Hartwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770553695 PECOS PAC ID: 3072584994 Enrollment ID: I20121119000537 |
| Provider Name | Veronica L Timbers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023369931 PECOS PAC ID: 7517119985 Enrollment ID: I20121211000155 |
| Provider Name | Carolyn Sue Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619229614 PECOS PAC ID: 4486807690 Enrollment ID: I20130118000309 |
| Provider Name | Tara Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962663484 PECOS PAC ID: 8325272453 Enrollment ID: I20131003000508 |
| Provider Name | Jean N Boulet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114179108 PECOS PAC ID: 5799916524 Enrollment ID: I20140320001122 |
| Provider Name | Karissa A Brone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811327422 PECOS PAC ID: 2769606086 Enrollment ID: I20140606000989 |
| Provider Name | Virginia P Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013275429 PECOS PAC ID: 4385861004 Enrollment ID: I20140804001143 |
| Provider Name | Melina J Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790030740 PECOS PAC ID: 2769602101 Enrollment ID: I20141006002512 |
| Provider Name | Veronica L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455635 PECOS PAC ID: 7810118882 Enrollment ID: I20141016002622 |
| Provider Name | Sara V Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992118905 PECOS PAC ID: 5698996494 Enrollment ID: I20141020002717 |
| Provider Name | Amy R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437404472 PECOS PAC ID: 0648491027 Enrollment ID: I20141028002772 |
| Provider Name | Haley Helms Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184971335 PECOS PAC ID: 4385966720 Enrollment ID: I20141215000037 |
| Provider Name | Grace Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114104817 PECOS PAC ID: 8729302526 Enrollment ID: I20150127002283 |
| Provider Name | Tracy N Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405024 PECOS PAC ID: 5890010706 Enrollment ID: I20150218000901 |
| Provider Name | Regenia Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952654311 PECOS PAC ID: 4981920964 Enrollment ID: I20150310002192 |
| Provider Name | Natalie N Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316232101 PECOS PAC ID: 9638487416 Enrollment ID: I20150928001521 |
| Provider Name | Cumi Talitha Jolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245630128 PECOS PAC ID: 8527116086 Enrollment ID: I20151207002081 |
| Provider Name | Troy Evans Boovy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215055637 PECOS PAC ID: 3274836101 Enrollment ID: I20160126002131 |
| Provider Name | Amy Smith Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023458767 PECOS PAC ID: 5193021343 Enrollment ID: I20160314002187 |
| Provider Name | Laura E Horgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066802 PECOS PAC ID: 9234437310 Enrollment ID: I20160406002028 |
| Provider Name | Priscilla Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447416672 PECOS PAC ID: 9234367574 Enrollment ID: I20160607000959 |
| Provider Name | Tarek Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558620682 PECOS PAC ID: 7012236920 Enrollment ID: I20160805000359 |
| Provider Name | Austin Br Combs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750703377 PECOS PAC ID: 6608155262 Enrollment ID: I20161122002350 |
| Provider Name | Jane E Smyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104267624 PECOS PAC ID: 4082995451 Enrollment ID: I20161222000472 |
| Provider Name | Rebecca A True |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356736722 PECOS PAC ID: 8426339847 Enrollment ID: I20161227000173 |
| Provider Name | Jessica N Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164824843 PECOS PAC ID: 9638450802 Enrollment ID: I20161229001731 |
| Provider Name | Rebecca Kaye Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447702063 PECOS PAC ID: 0345521399 Enrollment ID: I20170105000666 |
| Provider Name | Erin Hively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497292254 PECOS PAC ID: 9739464488 Enrollment ID: I20170321002128 |
| Provider Name | Theresa M Sosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780016295 PECOS PAC ID: 0840584066 Enrollment ID: I20170406000420 |
| Provider Name | Donna G Shew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043693765 PECOS PAC ID: 1658658844 Enrollment ID: I20170425001721 |
| Provider Name | Dishema S Shuler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821355405 PECOS PAC ID: 7618244187 Enrollment ID: I20170605001785 |
| Provider Name | Tanya Nicole Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184052953 PECOS PAC ID: 0143500330 Enrollment ID: I20170710000080 |
| Provider Name | Tayloe Compton Moye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790050078 PECOS PAC ID: 7315218070 Enrollment ID: I20170731000845 |
| Provider Name | Sarah M Gonzalez Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942609300 PECOS PAC ID: 8224309901 Enrollment ID: I20170731001816 |
| Provider Name | Erin Strauss Middlebrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871999425 PECOS PAC ID: 0244502045 Enrollment ID: I20170814001928 |
| Provider Name | Allyson A Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811231350 PECOS PAC ID: 9931472883 Enrollment ID: I20170829001800 |
| Provider Name | Novia Chantel Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174905160 PECOS PAC ID: 5890060107 Enrollment ID: I20171011003087 |
| Provider Name | Lauren Paige O'reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902326333 PECOS PAC ID: 0547536815 Enrollment ID: I20171101001522 |
| Provider Name | Kimberly Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992180764 PECOS PAC ID: 7911264759 Enrollment ID: I20171201002668 |
| Provider Name | Stephanie J Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571017 PECOS PAC ID: 1254699952 Enrollment ID: I20180102001051 |
| Provider Name | Shanika Bostic Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529464 PECOS PAC ID: 1951660133 Enrollment ID: I20180116000732 |
| Provider Name | Kimberly Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619340106 PECOS PAC ID: 8426317108 Enrollment ID: I20180126000227 |
| Provider Name | Tania Polidor Yarber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659741346 PECOS PAC ID: 7911267679 Enrollment ID: I20180129001825 |
| Provider Name | Brandie Hollifield Key |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184097974 PECOS PAC ID: 1557621950 Enrollment ID: I20180202001632 |
| Provider Name | Ashley M Flint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982072781 PECOS PAC ID: 5496015604 Enrollment ID: I20180208001524 |
| Provider Name | Kathryn Grace Grimsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518255025 PECOS PAC ID: 5799048088 Enrollment ID: I20180419002258 |
| Provider Name | Jerome Cornwall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952775629 PECOS PAC ID: 4385999879 Enrollment ID: I20180625002948 |
| Provider Name | Stephanie Nofal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215432372 PECOS PAC ID: 8527314616 Enrollment ID: I20180703000553 |
| Provider Name | David Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790146330 PECOS PAC ID: 5991052748 Enrollment ID: I20180725000167 |
| Provider Name | Mary C Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609228220 PECOS PAC ID: 5395095681 Enrollment ID: I20180907000065 |
| Provider Name | Erica Rochelle Alford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093238768 PECOS PAC ID: 4284986035 Enrollment ID: I20181007000007 |
| Provider Name | Crystal P Beddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295090801 PECOS PAC ID: 1951552355 Enrollment ID: I20181015003084 |
| Provider Name | Melissa K Griswold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073069662 PECOS PAC ID: 2365796356 Enrollment ID: I20181109001076 |
| Provider Name | Kami A Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114479839 PECOS PAC ID: 0547504631 Enrollment ID: I20181129003177 |
| Provider Name | Marlene A Hnilica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982170049 PECOS PAC ID: 3173861879 Enrollment ID: I20190205000247 |
| Provider Name | Tina Nnenna Ohuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659847564 PECOS PAC ID: 5597004614 Enrollment ID: I20190306002513 |
| Provider Name | Stefanie M Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730635475 PECOS PAC ID: 4082954243 Enrollment ID: I20190326000660 |
| Provider Name | Levina Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093276982 PECOS PAC ID: 4789927955 Enrollment ID: I20190510001582 |
| Provider Name | Kristy Lynette Mabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942795323 PECOS PAC ID: 3476896465 Enrollment ID: I20190514002783 |
| Provider Name | Susan D Blevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144771304 PECOS PAC ID: 1254667744 Enrollment ID: I20190722001013 |
| Provider Name | Janet L Yager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133206 PECOS PAC ID: 5597937334 Enrollment ID: I20190802002481 |
| Provider Name | Andrew Todd Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356745590 PECOS PAC ID: 1557698107 Enrollment ID: I20190806001411 |
| Provider Name | Edward C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891125688 PECOS PAC ID: 0648507830 Enrollment ID: I20190812000039 |
| Provider Name | Catherine Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538689914 PECOS PAC ID: 7113254251 Enrollment ID: I20190812002596 |
| Provider Name | Martha Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679131312 PECOS PAC ID: 3274860036 Enrollment ID: I20190816001063 |
| Provider Name | April L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356651939 PECOS PAC ID: 2769711886 Enrollment ID: I20190913002480 |
| Provider Name | Jasmine Marie Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285154971 PECOS PAC ID: 1355671488 Enrollment ID: I20191002002430 |
| Provider Name | Ileana Tol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023531795 PECOS PAC ID: 3971935685 Enrollment ID: I20191119001334 |
| Provider Name | Kathleen W Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578816831 PECOS PAC ID: 1052744257 Enrollment ID: I20191202001320 |
| Provider Name | Teresa M Ottmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649655747 PECOS PAC ID: 5597065888 Enrollment ID: I20191211002127 |
| Provider Name | Taylor R Brower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932626579 PECOS PAC ID: 0941636260 Enrollment ID: I20200205001689 |
| Provider Name | Diana Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922649516 PECOS PAC ID: 5799111803 Enrollment ID: I20200210001473 |
| Provider Name | Andrietta Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20200325002265 |
| Provider Name | Casey V Mabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538669254 PECOS PAC ID: 0143650838 Enrollment ID: I20200421000718 |
| Provider Name | Renee L Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609306562 PECOS PAC ID: 8426479759 Enrollment ID: I20200522000369 |
| Provider Name | Alicia Michelle Damico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740838200 PECOS PAC ID: 6305262726 Enrollment ID: I20200817001529 |
| Provider Name | Adrienne Louise Emery-ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871101774 PECOS PAC ID: 6103244389 Enrollment ID: I20200921001734 |
| Provider Name | Crenicia J Gaunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871070086 PECOS PAC ID: 0749691046 Enrollment ID: I20201117002413 |
| Provider Name | Caitlyn Grace Hough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114522141 PECOS PAC ID: 1052724622 Enrollment ID: I20201229001475 |
| Provider Name | Jamie D Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013463728 PECOS PAC ID: 1052724457 Enrollment ID: I20210104000360 |
| Provider Name | Wambui K Thuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457949869 PECOS PAC ID: 4587070651 Enrollment ID: I20210316000372 |
| Provider Name | Kristin W Melvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447720156 PECOS PAC ID: 4385051911 Enrollment ID: I20210329000422 |
| Provider Name | Paige Y Cozart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043788912 PECOS PAC ID: 1355758806 Enrollment ID: I20210329001509 |
| Provider Name | Brenda E Mullis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700468287 PECOS PAC ID: 1850790551 Enrollment ID: I20210601000382 |
| Provider Name | Alexandra M Barth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124566401 PECOS PAC ID: 0345641171 Enrollment ID: I20210630001131 |
| Provider Name | Richard E Herrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922038322 PECOS PAC ID: 0941359145 Enrollment ID: I20211022002320 |
| Provider Name | Joseph H Hodgson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306196894 PECOS PAC ID: 8426446311 Enrollment ID: I20211026002015 |
| Provider Name | Krysta S Christ |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144873738 PECOS PAC ID: 5799175352 Enrollment ID: I20211214002015 |
| Provider Name | Mary E Strong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215521182 PECOS PAC ID: 9436543394 Enrollment ID: I20220218002215 |
| Provider Name | Amy L Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205301710 PECOS PAC ID: 7416341003 Enrollment ID: I20220224001420 |
| Provider Name | Danielle Diggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760734990 PECOS PAC ID: 4183001100 Enrollment ID: I20220513000042 |
| Provider Name | Stephanie E Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114558236 PECOS PAC ID: 7719365881 Enrollment ID: I20220601001419 |
| Provider Name | Kenyetta L Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124687058 PECOS PAC ID: 5991183006 Enrollment ID: I20220601003109 |
| Provider Name | Abidemi Okeowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073261640 PECOS PAC ID: 1355662032 Enrollment ID: I20220616000490 |
| Provider Name | Samantha B Samson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669098984 PECOS PAC ID: 4688058381 Enrollment ID: I20220830001642 |
| Provider Name | Renee Susanne Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141764 PECOS PAC ID: 8123404639 Enrollment ID: I20221006003553 |
| Provider Name | Danielle S Mohlhenrich-thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174146369 PECOS PAC ID: 5294103784 Enrollment ID: I20221114002491 |
| Provider Name | Tianna H Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043585177 PECOS PAC ID: 1153790654 Enrollment ID: I20221205002601 |
| Provider Name | Hilary B Puzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004927 PECOS PAC ID: 7113394974 Enrollment ID: I20221209002225 |
| Provider Name | Brooklynn C Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629615257 PECOS PAC ID: 7810366838 Enrollment ID: I20221214002866 |
| Provider Name | Zumo M Kollie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336441443 PECOS PAC ID: 4486010600 Enrollment ID: I20230515000108 |
| Provider Name | Kaitlin E Mosher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720649486 PECOS PAC ID: 9931565199 Enrollment ID: I20230515002124 |
| Provider Name | Noel Marie Trusal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326597246 PECOS PAC ID: 3971889668 Enrollment ID: I20230808001769 |
| Provider Name | Brianna G Braddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518461854 PECOS PAC ID: 7214399252 Enrollment ID: I20230808003009 |
| Provider Name | Rebecca Siwanowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780268672 PECOS PAC ID: 1254789324 Enrollment ID: I20231129003848 |
| Provider Name | Jean E Tillman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164445110 PECOS PAC ID: 3870945298 Enrollment ID: I20240122000362 |
| Provider Name | Cheryl L Saulpaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205376993 PECOS PAC ID: 7911341599 Enrollment ID: I20240222001706 |
| Provider Name | Carmen S Lentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881801058 PECOS PAC ID: 1052755519 Enrollment ID: I20240223000556 |
| Provider Name | Angela M Clifton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912540097 PECOS PAC ID: 8729422217 Enrollment ID: I20240223001632 |
| Provider Name | April D Burch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124488325 PECOS PAC ID: 6800231390 Enrollment ID: I20240223001769 |
| Provider Name | Beth J Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063480028 PECOS PAC ID: 6305281890 Enrollment ID: I20240223001948 |
| Provider Name | Paige A Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275500761 PECOS PAC ID: 7012352313 Enrollment ID: I20240227000155 |
| Provider Name | Heather Hedrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942435540 PECOS PAC ID: 3678918935 Enrollment ID: I20240227002413 |
| Provider Name | Jonathan L Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205158730 PECOS PAC ID: 2769827922 Enrollment ID: I20240227002827 |
| Provider Name | Brandi P Hamm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518223221 PECOS PAC ID: 6901241165 Enrollment ID: I20240227002995 |
| Provider Name | Harold L Satterwhite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790709608 PECOS PAC ID: 1153766365 Enrollment ID: I20240228000079 |
| Provider Name | Ritchie D Puckett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093198954 PECOS PAC ID: 6507201712 Enrollment ID: I20240228000113 |
| Provider Name | Alexandra M Lundberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265925465 PECOS PAC ID: 7113362336 Enrollment ID: I20240228000195 |
| Provider Name | Marilyn Jane Mcneill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851829634 PECOS PAC ID: 1759726987 Enrollment ID: I20240228000557 |
| Provider Name | Jasmine M Fulp Good |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689177594 PECOS PAC ID: 5092150227 Enrollment ID: I20240228000673 |
| Provider Name | Jennifer G Billings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134626955 PECOS PAC ID: 3779928924 Enrollment ID: I20240228001224 |
| Provider Name | Joan B Hinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134213630 PECOS PAC ID: 4486099553 Enrollment ID: I20240228002495 |
| Provider Name | Ashley J Golds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568779825 PECOS PAC ID: 1355786146 Enrollment ID: I20240304000320 |
| Provider Name | Cassandra M Byers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992821961 PECOS PAC ID: 5799120598 Enrollment ID: I20240304000429 |
| Provider Name | Meagan M Blews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780982538 PECOS PAC ID: 9931544731 Enrollment ID: I20240304000555 |
| Provider Name | Angela V Hamilton-rucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992367221 PECOS PAC ID: 9537504337 Enrollment ID: I20240304000686 |
| Provider Name | Graciela A. Antunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427486679 PECOS PAC ID: 8527404896 Enrollment ID: I20240308000954 |
| Provider Name | Cynthia W. Little |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629325048 PECOS PAC ID: 7517303696 Enrollment ID: I20240312000580 |
| Provider Name | Fumie Abe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952866618 PECOS PAC ID: 8224474358 Enrollment ID: I20240312002482 |
| Provider Name | Holly C Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093783664 PECOS PAC ID: 3274979216 Enrollment ID: I20240312003219 |
| Provider Name | Christopher S Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679781249 PECOS PAC ID: 7113363193 Enrollment ID: I20240313000417 |
| Provider Name | Kellie L Belk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164182549 PECOS PAC ID: 0042656068 Enrollment ID: I20240313001836 |
| Provider Name | Jordan L Hemmings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154861946 PECOS PAC ID: 4880030709 Enrollment ID: I20240313002179 |
| Provider Name | Gary S Kaufman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902909989 PECOS PAC ID: 0749626687 Enrollment ID: I20240313003121 |
| Provider Name | Jerry O Earnhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962550392 PECOS PAC ID: 3274979166 Enrollment ID: I20240314000420 |
| Provider Name | Elizabeth A Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760014211 PECOS PAC ID: 7517303407 Enrollment ID: I20240314000493 |
| Provider Name | Darren J Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396859161 PECOS PAC ID: 8527404433 Enrollment ID: I20240314000898 |
| Provider Name | Christopher S. Sapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235559717 PECOS PAC ID: 9638515455 Enrollment ID: I20240314001683 |
| Provider Name | Meagan H Lindsay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942773635 PECOS PAC ID: 2567808322 Enrollment ID: I20240314003283 |
| Provider Name | Christopher C Knotts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104243617 PECOS PAC ID: 3971940669 Enrollment ID: I20240318000270 |
| Provider Name | Tyler B Keziah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376860643 PECOS PAC ID: 3375980063 Enrollment ID: I20240318000464 |
| Provider Name | Margaret R Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194998146 PECOS PAC ID: 8022455633 Enrollment ID: I20240319001177 |
| Provider Name | Lorri J Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891235685 PECOS PAC ID: 0143667766 Enrollment ID: I20240319001381 |
| Provider Name | Marcia L Piggott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457621112 PECOS PAC ID: 2769829019 Enrollment ID: I20240321002481 |
| Provider Name | Carissa R Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174860324 PECOS PAC ID: 2567809718 Enrollment ID: I20240322002890 |
| Provider Name | Angelika Liles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902110125 PECOS PAC ID: 4082051248 Enrollment ID: I20240322003061 |
| Provider Name | Courtney E Wagoner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437441862 PECOS PAC ID: 0941648612 Enrollment ID: I20240401003354 |
| Provider Name | Daniel P Anthony |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396751459 PECOS PAC ID: 2769820430 Enrollment ID: I20240401003362 |
| Provider Name | Kimberly B Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477224012 PECOS PAC ID: 0143668749 Enrollment ID: I20240402001417 |
| Provider Name | Katie L Dockery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760833842 PECOS PAC ID: 9537412986 Enrollment ID: I20240404000246 |
| Provider Name | Mary A Bullock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902458037 PECOS PAC ID: 8628416864 Enrollment ID: I20240405002656 |
| Provider Name | Melissa I Golzio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194497107 PECOS PAC ID: 3779921911 Enrollment ID: I20240405002832 |
| Provider Name | Mark M Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205118247 PECOS PAC ID: 2466890587 Enrollment ID: I20240409000529 |
| Provider Name | Enjonae Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871843151 PECOS PAC ID: 2961840913 Enrollment ID: I20240410000007 |
| Provider Name | Jessica M Southard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215492624 PECOS PAC ID: 7214376045 Enrollment ID: I20240412002622 |
| Provider Name | Patricia E Morrisey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841536448 PECOS PAC ID: 1254770910 Enrollment ID: I20240415003185 |
| Provider Name | Rita D Mcrae-monroe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205953981 PECOS PAC ID: 5294174843 Enrollment ID: I20240416003039 |
| Provider Name | Sheila C Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770797912 PECOS PAC ID: 7911346465 Enrollment ID: I20240416003435 |
| Provider Name | Angela D Wilburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619326436 PECOS PAC ID: 0244679298 Enrollment ID: I20240423003971 |
| Provider Name | Jennifer D Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992162556 PECOS PAC ID: 1759721715 Enrollment ID: I20240424004009 |
| Provider Name | Shadese L Griffith-mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104163625 PECOS PAC ID: 3072953173 Enrollment ID: I20240506001385 |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 200, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |