| Living Well Behavioral Health Inc | |
|
127 Us Highway 70 West Garner NC 27529 | |
| (919) 803-2111 | |
| (919) 803-3083 |
| Full Name | Living Well Behavioral Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 127 Us Highway 70 West, Garner, North Carolina |
| Authorized Official Name and Position | Frances Anne Thompson (PRESIDENT) |
| Authorized Official Contact | 9198032111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Behavioral Health Inc 127 Us Highway 70 West Garner NC 27529 Ph: (919) 803-2111 | Living Well Behavioral Health Inc 127 Us Highway 70 West Garner NC 27529 Ph: (919) 803-2111 |
| NPI Number | 1649430489 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 4981772878 |
|---|---|
| Medicare Enrollment ID | O20081006000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649430489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | William Oliver Mann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649211715 PECOS PAC ID: 0547294092 Enrollment ID: I20050923000198 |
| Provider Name | Stephen David Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720322688 PECOS PAC ID: 5991082679 Enrollment ID: I20170505001466 |
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