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862 Brawley School Road Suite 202 Mooresville NC 28117 | |
| (704) 659-4707 | |
| (980) 444-3841 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 862 Brawley School Road, Mooresville, North Carolina |
| Authorized Official Name and Position | Diana Byrnes (OFFICE MANAGER) |
| Authorized Official Contact | 7046594707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
862 Brawley School Road Suite 202 Mooresville NC 28117 Ph: (704) 659-4707 | 862 Brawley School Road Suite 202 Mooresville NC 28117 Ph: (704) 659-4707 |
| NPI Number | 1679044416 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 8921447582 |
|---|---|
| Medicare Enrollment ID | O20240415003798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679044416 | NPI | - | NPPES |
| 1801317383 | Other | NC | UNITED HEALTHCARE |
| 1164729471 | Other | NC | AETNA |
| 1164729471 | Other | NC | MEDCOST |
| 1164729471 | Other | NC | UNITED HEALTHCARE |
| 1801317383 | Other | NC | CIGNA |
| 1164729471 | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| 1164729471 | Other | NC | CIGNA |
| 1164729471 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Perri May |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164729471 PECOS PAC ID: 9830538495 Enrollment ID: I20240429000521 |
| Provider Name | Melissa Cummins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093282584 PECOS PAC ID: 6002355641 Enrollment ID: I20240828000701 |
Wellness Psychiatry Group, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Williamson Rd, Suite 102, Mooresville, NC 28117 Phone: 704-912-7037 | |
Pinnacle Performance Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 Brawley School Rd Ste F1, Mooresville, NC 28117 Phone: 704-799-1270 Fax: 704-799-1271 | |
Kristin Leigh Matas Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 Kilson Dr Ste 202, Mooresville, NC 28117 Phone: 704-302-6974 | |
The Center At Lake Norman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Joe Knox Ave Ste 100, Mooresville, NC 28117 Phone: 704-980-9234 Fax: 866-321-9367 | |