| Lee Hasty, Lcsw, Pa | |
|
2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 | |
| (704) 283-2900 | |
| (704) 283-2977 |
| Full Name | Lee Hasty, Lcsw, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 2649 Brekonridge Centre Dr, Monroe, North Carolina |
| Authorized Official Name and Position | Lee Mcnair Hasty (PRESIDENT) |
| Authorized Official Contact | 7042832900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Hasty, Lcsw, Pa 2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 Ph: (704) 283-2900 | Lee Hasty, Lcsw, Pa 2649 Brekonridge Centre Dr Suite 112 Monroe NC 28110-5631 Ph: (704) 283-2900 |
| NPI Number | 1437390077 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 3274681838 |
|---|---|
| Medicare Enrollment ID | O20090508000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437390077 | NPI | - | NPPES |
| 6002308 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | COOO488 (North Carolina) | Primary |
| Provider Name | Lee M Hasty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528048204 PECOS PAC ID: 2769566611 Enrollment ID: I20080301000075 |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1708 Lake Monroe Dr, Monroe, NC 28112 Phone: 704-289-6655 | |
Union House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Ib Shives Rd, Monroe, NC 28110 Phone: 704-226-1517 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Roosevelt Blvd Ste 600, Monroe, NC 28112 Phone: 704-296-6200 | |
Agape Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Circle Dr, Monroe, NC 28112 Phone: 704-225-0584 Fax: 800-755-9281 | |
The Sheperd's Lodge Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2918 Duck Point Dr, Monroe, NC 28110 Phone: 704-953-3128 | |
Lsl Psychological Services, P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4044 Beacon Ave, Monroe, NC 28110 Phone: 228-265-5144 Fax: 228-263-3693 | |
Meridian Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Concord Ave Ste C, Monroe, NC 28110 Phone: 910-207-6421 |