| Lisa J. Keith, Lcsw, Pllc | |
|
112 Adler Ln Goldsboro NC 27530-5513 | |
| (919) 580-0790 | |
| (919) 735-9238 |
| Full Name | Lisa J. Keith, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 Adler Ln, Goldsboro, North Carolina |
| Authorized Official Name and Position | Lisa Johnson Keith (MANAGER/PARTNER) |
| Authorized Official Contact | 9199222055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa J. Keith, Lcsw, Pllc 112 Adler Ln Goldsboro NC 27530-5513 Ph: (919) 580-0790 | Lisa J. Keith, Lcsw, Pllc 112 Adler Ln Goldsboro NC 27530-5513 Ph: (919) 580-0790 |
| NPI Number | 1124124151 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124124151 | NPI | - | NPPES |
| 6005936 | Medicaid | NC | |
| 785920000 | Other | NC | MAGELLAN |
| 142JF | Other | NC | BCBS OF NC |
| 190281 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002693 (North Carolina) | Primary |
Howell Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Landmark Dr, Goldsboro, NC 27534 Phone: 919-778-1506 Fax: 919-778-1535 | |
Carolina Outreach, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 N Center St, Goldsboro, NC 27530 Phone: 919-734-4440 | |
Wellsprings Center Of Goldsboro,p.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Graves Dr, Suite 7, Goldsboro, NC 27534 Phone: 919-583-8448 Fax: 919-583-8449 | |
Thera-peds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Parkway Drive, Goldsboro, NC 27534 Phone: 919-739-0047 Fax: 919-739-0041 | |
Progressive Healthcare & Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 N George St, Goldsboro, NC 27530 Phone: 919-735-2211 Fax: 919-735-2277 | |
Life Solutions Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Patetown Rd, Suite 17, Goldsboro, NC 27530 Phone: 919-922-0887 Fax: 919-751-9170 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St, Suite 300, Goldsboro, NC 27530 Phone: 800-866-0860 |