| Epiphany Care | |
|
1935 J N Pease Pl Ste 201 Charlotte NC 28262-4542 | |
| (980) 219-3318 | |
| Not Available |
| Full Name | Epiphany Care |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1935 J N Pease Pl Ste 201, Charlotte, North Carolina |
| Authorized Official Name and Position | Keyana Moore (CEO) |
| Authorized Official Contact | 9802193318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Care 1935 J N Pease Pl Ste 201 Charlotte NC 28262-4542 Ph: (980) 219-3318 | Epiphany Care 1935 J N Pease Pl Ste 201 Charlotte NC 28262-4542 Ph: (980) 219-3318 |
| NPI Number | 1134781958 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Medicare PECOS PAC ID | 2668890997 |
|---|---|
| Medicare Enrollment ID | O20200917002100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134781958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
| Provider Name | Malika Bowser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710358551 PECOS PAC ID: 3678838935 Enrollment ID: I20180607001987 |
| Provider Name | Andrea Denise Symes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467989368 PECOS PAC ID: 2668703612 Enrollment ID: I20191007001119 |
Barbara Kaplan Mhdl Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 East Woodlawn Road, Suite 136, Charlotte, NC 28217 Phone: 704-527-2108 Fax: 704-527-2108 | |
Carolina Care One, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3601 Beaux St, Charlotte, NC 28208 Phone: 704-299-2616 | |
Myers Park Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Umar Ct, Charlotte, NC 28215 Phone: 704-566-0245 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Robinhood Cir, Charlotte, NC 28227 Phone: 704-563-8894 | |
Primary Care Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5601 Executive Center Dr Ste 200, Charlotte, NC 28212 Phone: 704-537-1022 Fax: 704-569-0822 | |
Carawell Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4724 Park Rd Ste D, Charlotte, NC 28209 Phone: 704-288-0314 Fax: 704-288-0310 | |
Healing Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1931 J N Pease Pl Ste 201, Charlotte, NC 28262 Phone: 980-237-2709 Fax: 704-817-9154 |