| Integrated Family Services Pllc | |
|
202 Nc Highway 42 W Ahoskie NC 27910-9743 | |
| (252) 209-0388 | |
| (252) 209-0488 |
| Full Name | Integrated Family Services Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 202 Nc Highway 42 W, Ahoskie, North Carolina |
| Authorized Official Name and Position | Stacey Petteway (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2524390700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Family Services Pllc P O Box 885 Ahoskie NC 27910-0885 Ph: (252) 209-0388 | Integrated Family Services Pllc 202 Nc Highway 42 W Ahoskie NC 27910-9743 Ph: (252) 209-0388 |
| NPI Number | 1942289244 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Medicare PECOS PAC ID | 2567464563 |
|---|---|
| Medicare Enrollment ID | O20080523000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942289244 | NPI | - | NPPES |
| Provider Name | Rickie Wade Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831129220 PECOS PAC ID: 8325021553 Enrollment ID: I20040609001097 |
| Provider Name | Gening Zhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154331312 PECOS PAC ID: 8325019680 Enrollment ID: I20040802001248 |
| Provider Name | Rita K Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316957319 PECOS PAC ID: 1456327469 Enrollment ID: I20040909000887 |
| Provider Name | Kim A Reynolds Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699876300 PECOS PAC ID: 0547311946 Enrollment ID: I20090624000760 |
| Provider Name | Natasha Coley Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932305935 PECOS PAC ID: 9830269307 Enrollment ID: I20120117000176 |
| Provider Name | Roxanne Banks O'kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245573757 PECOS PAC ID: 8426291014 Enrollment ID: I20130829000619 |
| Provider Name | Sandra M Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063573129 PECOS PAC ID: 1153625033 Enrollment ID: I20160215000069 |
| Provider Name | Angela Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417340688 PECOS PAC ID: 2668729682 Enrollment ID: I20180723002228 |
| Provider Name | Shontel Mone Spruill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912404948 PECOS PAC ID: 0244652287 Enrollment ID: I20200622001456 |
| Provider Name | Dayna Lorraine Farrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063884419 PECOS PAC ID: 0749602548 Enrollment ID: I20200624002394 |
| Provider Name | Sherri Lynn Langley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790251122 PECOS PAC ID: 8325457310 Enrollment ID: I20210504000090 |
| Provider Name | Kelley Leigh Whitesell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992358642 PECOS PAC ID: 2961897897 Enrollment ID: I20220311001090 |
Choanoke Valley Advp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 1st St W, Ahoskie, NC 27910 Phone: 252-332-5709 Fax: 252-862-4285 | |
Carolina Residential Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144-b Community College Road, Ahoskie, NC 27910 Phone: 252-332-8553 Fax: 252-332-8553 | |
Rescare Homecare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Peacock St, Ahoskie, NC 27910 Phone: 800-866-0860 | |
A Valley Of Visions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Main St E, Ahoskie, NC 27910 Phone: 252-642-5345 | |
Integrated Family Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Main St W, Ahoskie, NC 27910 Phone: 252-862-4411 Fax: 252-862-4414 | |
Ecu Health Adult Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Hertford County High Rd, Ahoskie, NC 27910 Phone: 252-209-3056 | |
Port Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Community College Rd Ste C, Ahoskie, NC 27910 Phone: 252-332-5086 Fax: 252-332-5243 |