| Easter Seals Ucp North Carolina & Virginia, Inc. | |
|
913 N Carolina Ave Statesville NC 28677-3414 | |
| (704) 871-1045 | |
| (704) 883-8638 |
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 913 N Carolina Ave, Statesville, North Carolina |
| Authorized Official Name and Position | Richard P Edwards (VICE PRESIDENT) |
| 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 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 913 N Carolina Ave Statesville NC 28677-3414 Ph: (704) 871-1045 |
| NPI Number | 1962556852 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962556852 | NPI | - | NPPES |
| 2345163A | Other | NC | MEDICARE |
| 6005987 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Children's Hope Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Barium Springs Drive, Statesville, NC 28677 Phone: 704-873-1011 Fax: 704-924-7683 | |
Behavioral Healthcare & Memory Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215b W Broad St, Statesville, NC 28677 Phone: 704-878-8884 Fax: 704-878-8883 | |
New River Behavvioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-871-1045 Fax: 704-883-8638 | |
Hopewell Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Center St Ste 116, Statesville, NC 28677 Phone: 704-325-9654 Fax: 704-973-9488 | |
Iredell County Dss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Eastside Dr, Statesville, NC 28625 Phone: 704-873-5631 Fax: 704-871-3489 | |
Manifest Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St Ste M, Statesville, NC 28677 Phone: 980-446-0004 Fax: 980-446-0004 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St, Statesville, NC 28677 Phone: 800-866-0860 |