| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
100 Loop St Clinton NC 28328-4062 | |
| (910) 596-2221 | |
| (910) 596-2229 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Loop St, Clinton, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| 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. 100 Loop St Clinton NC 28328-4062 Ph: (910) 596-2221 |
| NPI Number | 1841352101 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841352101 | NPI | - | NPPES |
| 8300709B | Medicaid | NC | |
| 8300709H | Medicaid | NC | |
| 8300709G | Medicaid | NC | |
| 8300709A | Medicaid | NC | |
| 8300709F | Medicaid | NC | |
| 018KJ | Other | NC | NC BCBS GROUP |
| 8300709 | Medicaid | NC | |
| 8300709I | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Caring Hearts Professional Counseling Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 312 College St, Suite C, Clinton, NC 28328 Phone: 910-299-0848 Fax: 910-299-0850 | |
Howell Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 County Complex Rd, Clinton, NC 28328 Phone: 910-592-5945 Fax: 910-590-2108 | |
Connolly Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Fayetteville St, Clinton, NC 28328 Phone: 910-596-2020 Fax: 910-275-0013 | |
Southeastern United Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beaman St., Clinton, NC 28328 Phone: 910-521-9557 Fax: 910-521-0077 | |
Carolina Residential Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Giddens St, Clinton, NC 28328 Phone: 910-299-5032 Fax: 910-299-5033 | |
Candii Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Warsaw Road, Clinton, NC 28328 Phone: 910-592-7451 Fax: 910-221-5479 | |
Mercy Care Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Warsaw Rd Ste B, Clinton, NC 28328 Phone: 910-385-6559 Fax: 910-592-4728 |