Edgecombe-nash Mental Health Clinic Beacon Center | |
500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 | |
(252) 937-8141 | |
(252) 443-9574 |
Full Name | Edgecombe-nash Mental Health Clinic Beacon Center |
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Speciality | Counselor - Mental Health |
Location | 500 Nash Medical Arts Mall, Rocky Mount, North Carolina |
Authorized Official Name and Position | Nancy Rackley (FINANCE OFFICER) |
Authorized Official Contact | 2529378141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edgecombe-nash Mental Health Clinic Beacon Center 500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 Ph: (252) 937-8141 | Edgecombe-nash Mental Health Clinic Beacon Center 500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 Ph: (252) 937-8141 |
NPI Number | 1740388347 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740388347 | NPI | - | NPPES |
8301065 | Medicaid | NC | |
3404937E | Other | NC | ENDORSED PROVIDER NUMBER |
8301065G | Medicaid | NC | |
3404937 | Other | NC | BASE PROVIDER NUMBER |
5901411 | Medicaid | NC | |
0182 | Other | NC | MEDICARE GROUP NUMBER |
3408170 | Medicaid | NC | |
6005570 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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