| Invictus Of Nc, Inc. | |
|
9233 Rotherham Ln Charlotte NC 28216-1774 | |
| (704) 964-8170 | |
| (704) 910-2720 |
| Full Name | Invictus Of Nc, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9233 Rotherham Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Ashley Caroline Mills (INCORPORATOR) |
| Authorized Official Contact | 7049648170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Invictus Of Nc, Inc. 9233 Rotherham Ln Charlotte NC 28216-1774 Ph: (704) 964-8170 | Invictus Of Nc, Inc. 9233 Rotherham Ln Charlotte NC 28216-1774 Ph: (704) 964-8170 |
| NPI Number | 1013373224 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 0345545927 |
|---|---|
| Medicare Enrollment ID | O20160218001794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013373224 | NPI | - | NPPES |
| 6007561 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C006800 (North Carolina) | Primary |
| Provider Name | Ashley C Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568782654 PECOS PAC ID: 3072643998 Enrollment ID: I20100618000589 |
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