| Integrative Behavioral Health & Healing Practice Pllc | |
|
124 E Fisher Ave Greensboro NC 27401-2034 | |
| (984) 288-0880 | |
| (984) 217-1701 |
| Full Name | Integrative Behavioral Health & Healing Practice Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 124 E Fisher Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Karen Day Nicholson (PROVIDER/OWNER) |
| Authorized Official Contact | 9842880880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Behavioral Health & Healing Practice Pllc 124 E Fisher Ave Greensboro NC 27401-2034 Ph: (984) 288-0880 | Integrative Behavioral Health & Healing Practice Pllc 124 E Fisher Ave Greensboro NC 27401-2034 Ph: (984) 288-0880 |
| NPI Number | 1689323511 |
|---|---|
| Provider Enumeration Date | 03/19/2022 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 6709268741 |
|---|---|
| Medicare Enrollment ID | O20220808000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689323511 | NPI | - | NPPES |
| Provider Name | Tara S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851575930 PECOS PAC ID: 2860576022 Enrollment ID: I20080226000787 |
| Provider Name | Mary E Hartsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760573612 PECOS PAC ID: 3173798006 Enrollment ID: I20111205000638 |
| Provider Name | Megan A Webster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366621518 PECOS PAC ID: 5092981795 Enrollment ID: I20111230000175 |
| Provider Name | Karen Day Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336593953 PECOS PAC ID: 5294022828 Enrollment ID: I20160927000124 |
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