| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 820 5th St. N, Carrington, North Dakota |
| Authorized Official Name and Position | Brittany Long (OWNER/PROVIDER) |
| Authorized Official Contact | 7013990123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4533 5th St. Ne Bowdon ND 58418 Ph: (701) 399-0123 | 820 5th St. N Carrington ND 58421 Ph: (701) 399-0123 |
| NPI Number | 1881422665 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Medicare PECOS PAC ID | 7618400508 |
|---|---|
| Medicare Enrollment ID | O20241030004160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881422665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Brittany Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831678036 PECOS PAC ID: 4880952589 Enrollment ID: I20181031003321 |
Advance In Recovery, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1206 Main St, Carrington, ND 58421 Phone: 701-645-1032 |