| Eagle Vision Behavior Health | |
|
1101 S Andrews Ave Goldsboro NC 27530-6622 | |
| (904) 853-7737 | |
| Not Available |
| Full Name | Eagle Vision Behavior Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1101 S Andrews Ave, Goldsboro, North Carolina |
| Authorized Official Name and Position | Courtenay Y Hall (THERAPIST) |
| Authorized Official Contact | 9198926614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Vision Behavior Health 1101 S Andrews Ave Goldsboro NC 27530-6622 Ph: (919) 892-6614 | Eagle Vision Behavior Health 1101 S Andrews Ave Goldsboro NC 27530-6622 Ph: (904) 853-7737 |
| NPI Number | 1972094902 |
|---|---|
| Provider Enumeration Date | 05/25/2018 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972094902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW14380 (Florida) | Primary |
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