| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
101 N Main St Louisburg NC 27549-2570 | |
| (919) 340-0437 | |
| (919) 340-0452 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 N Main St, Louisburg, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CONTRACT SPECIALIST) |
| Authorized Official Contact | 9197838898 |
| 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 211 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 101 N Main St Louisburg NC 27549-2570 Ph: (919) 340-0437 |
| NPI Number | 1528360682 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528360682 | NPI | - | NPPES |
| 5917460 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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