| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
2563 Eric Ln Suite K Burlington NC 27215-4303 | |
| (336) 223-0444 | |
| (336) 223-0449 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2563 Eric Ln, Burlington, North Carolina |
| Authorized Official Name and Position | Jelore Little (CONTRACT ADMINISTRATOR) |
| Authorized Official Contact | 3365456338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 2563 Eric Ln Suite K Burlington NC 27215-4303 Ph: (336) 223-0444 |
| NPI Number | 1922213669 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 07/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922213669 | NPI | - | NPPES |
| 018KJ | Other | NC | BCBS |
| 8301523 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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