Loving Reconnections Behavioral Health Pa | |
110 Hepler St Suite B Kernersville NC 27284-2791 | |
(336) 497-5701 | |
Not Available |
Full Name | Loving Reconnections Behavioral Health Pa |
---|---|
Speciality | Community/Behavioral Health |
Location | 110 Hepler St, Kernersville, North Carolina |
Authorized Official Name and Position | John Vincent Governale (PRACTICE MANAGER / VICE PRESIDENT) |
Authorized Official Contact | 3364975701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Loving Reconnections Behavioral Health Pa 110 Hepler St Suite B Kernersville NC 27284-2791 Ph: (336) 497-5701 | Loving Reconnections Behavioral Health Pa 110 Hepler St Suite B Kernersville NC 27284-2791 Ph: (336) 497-5701 |
NPI Number | 1053861641 |
---|---|
Provider Enumeration Date | 10/07/2016 |
Last Update Date | 01/23/2017 |
Medicare PECOS PAC ID | 3971884107 |
---|---|
Medicare Enrollment ID | O20170103000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053861641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | C010334 (North Carolina) | Primary |
Provider Name | Sarah A Solomon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144576810 PECOS PAC ID: 3476700790 Enrollment ID: I20120821000984 |
Provider Name | Rebecca Kaye Jackson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447702063 PECOS PAC ID: 0345521399 Enrollment ID: I20170105000666 |
Provider Name | Joann Marie Governale |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568709756 PECOS PAC ID: 4880975010 Enrollment ID: I20170105001933 |
Co-operative Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 749 Inland Dr, Kernersville, NC 27284 Phone: 336-823-7948 | |
Beautiful Hearts Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Harmon Rd, #1052, Kernersville, NC 27284 Phone: 252-506-3556 | |
Springwell Network, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Raven Ridge Rd, Kernersville, NC 27284 Phone: 336-722-3649 Fax: 336-831-1314 | |
Youth Opportunities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Bagley Road, Kernersville, NC 27284 Phone: 336-724-1412 Fax: 336-724-1464 | |
Your Best Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Rockbridge Dr, Kernersville, NC 27284 Phone: 828-514-8809 | |
Gray Sappenfield Moulton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Cherry St Ste D, Kernersville, NC 27284 Phone: 336-287-7353 |