| Epiphany Family Services, Llc | |
|
102 Church St Ne Concord NC 28025-4733 | |
| (704) 536-6853 | |
| (704) 445-4582 |
| Full Name | Epiphany Family Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 102 Church St Ne, Concord, North Carolina |
| Authorized Official Name and Position | Katy Millner-cathcart (OPERATIONS OFFICER) |
| Authorized Official Contact | 7045366853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Family Services, Llc 6900 Farmingdale Dr Charlotte NC 28212-5551 Ph: (704) 536-6853 | Epiphany Family Services, Llc 102 Church St Ne Concord NC 28025-4733 Ph: (704) 536-6853 |
| NPI Number | 1255640645 |
|---|---|
| Provider Enumeration Date | 10/02/2010 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 5799920245 |
|---|---|
| Medicare Enrollment ID | O20130404000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255640645 | NPI | - | NPPES |
| 8303191 | Medicaid | NC |
| Provider Name | Felicia Patterson Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003199928 PECOS PAC ID: 2365615036 Enrollment ID: I20111026000294 |
| Provider Name | Julie Parker Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912282674 PECOS PAC ID: 0446423305 Enrollment ID: I20111109000667 |
| Provider Name | Michele A Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700280567 PECOS PAC ID: 4789947805 Enrollment ID: I20180424000486 |
| Provider Name | Howard Keith Mason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396707568 PECOS PAC ID: 0840263760 Enrollment ID: I20200722001784 |
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