Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 40 W 6th St, Newton, North Carolina |
Authorized Official Name and Position | Gordon Cappelletty (CLINICAL DIRECTOR) |
Authorized Official Contact | 8283265960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1985 Tate Blvd Se Ste 300 Hickory NC 28602-1433 Ph: (828) 328-5960 | 40 W 6th St Newton NC 28658-3104 Ph: (828) 464-0013 |
NPI Number | 1245304724 |
---|---|
Provider Enumeration Date | 11/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245304724 | NPI | - | NPPES |
0728U | Other | NC | BCBS NCHC |
8301044 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Elizabeth A Derouin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W 9th St, Newton, NC 28658 Phone: 910-494-6000 | |
Ase Healing Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1738 Lazenby St, Newton, NC 28658 Phone: 828-244-2622 | |