| Great Place To Start Behavioral Health Services | |
|
1425 S Glenburnie Rd Ste 3b New Bern NC 28562-2610 | |
| (252) 349-2154 | |
| Not Available |
| Full Name | Great Place To Start Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 1425 S Glenburnie Rd Ste 3b, New Bern, North Carolina |
| Authorized Official Name and Position | Laquita Lashall Courman (PROGRAM DIRECTOR/OWNER) |
| Authorized Official Contact | 2523492154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Place To Start Behavioral Health Services 1425 S Glenburnie Rd Ste 3b New Bern NC 28562-2610 Ph: (252) 349-2154 | Great Place To Start Behavioral Health Services 1425 S Glenburnie Rd Ste 3b New Bern NC 28562-2610 Ph: (252) 349-2154 |
| NPI Number | 1679042683 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 4486089026 |
|---|---|
| Medicare Enrollment ID | O20200108002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679042683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laquita Lashall Courman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053796102 PECOS PAC ID: 5395170930 Enrollment ID: I20200108002988 |
| Provider Name | Ebonie Taylor-dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912449216 PECOS PAC ID: 0648671545 Enrollment ID: I20210630000018 |
| Provider Name | Nicole Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596176 PECOS PAC ID: 1658756937 Enrollment ID: I20220922002787 |
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