| Ivyrose Llc | |
|
2628 Monk Rd. Greenville NC 27834 | |
| (252) 714-6329 | |
| Not Available |
| Full Name | Ivyrose Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2628 Monk Rd., Greenville, North Carolina |
| Authorized Official Name and Position | Sheconia Antionette Harris (OWNER/THERAPIST) |
| Authorized Official Contact | 2527146329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivyrose Llc Po Box 804 Bellarthur NC 27811-0804 Ph: () - | Ivyrose Llc 2628 Monk Rd. Greenville NC 27834 Ph: (252) 714-6329 |
| NPI Number | 1760228308 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760228308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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