| Mcivers Adult & Youth Services Llc | |
|
4822 Albemarle Rd Ste 103b Charlotte NC 28205-6668 | |
| (980) 207-0072 | |
| Not Available |
| Full Name | Mcivers Adult & Youth Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4822 Albemarle Rd Ste 103b, Charlotte, North Carolina |
| Authorized Official Name and Position | Raymond Maurice Mciver (CEO) |
| Authorized Official Contact | 7049679826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcivers Adult & Youth Services Llc 4822 Albemarle Rd Ste 103b Charlotte NC 28205-6668 Ph: (980) 207-0072 | Mcivers Adult & Youth Services Llc 4822 Albemarle Rd Ste 103b Charlotte NC 28205-6668 Ph: (980) 207-0072 |
| NPI Number | 1033707864 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 4880008945 |
|---|---|
| Medicare Enrollment ID | O20210201001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033707864 | NPI | - | NPPES |
| Provider Name | Chimere D Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104955293 PECOS PAC ID: 4486943941 Enrollment ID: I20160523001868 |
| Provider Name | Brea Anjanee Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942786629 PECOS PAC ID: 3375953821 Enrollment ID: I20201111003034 |
| Provider Name | Krystle Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542917 PECOS PAC ID: 6103160304 Enrollment ID: I20210816004130 |
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