| Essential Life Connections | |
|
132 Court St Statesville NC 28677-5803 | |
| (980) 223-2084 | |
| (336) 464-2071 |
| Full Name | Essential Life Connections |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 Court St, Statesville, North Carolina |
| Authorized Official Name and Position | Latrina D Winford (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3368969771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Life Connections 4680 Brownsboro Rd # D Winston Salem NC 27106-3428 Ph: (336) 896-9771 | Essential Life Connections 132 Court St Statesville NC 28677-5803 Ph: (980) 223-2084 |
| NPI Number | 1316359961 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316359961 | NPI | - | NPPES |
| 1306036470 | Medicaid | NC | |
| 1629313051 | Medicaid | NC | |
| 1780865535 | Medicaid | NC | |
| 1205972205 | Medicaid | NC | |
| 1952535858 | Medicaid | NC | |
| 1366654329 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-034-265 (North Carolina) | 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 |