Mebane Behavioral Health, Pc | |
105 E Center St Suite B-3 Mebane NC 27302-2420 | |
(919) 563-2140 | |
(919) 563-2188 |
Full Name | Mebane Behavioral Health, Pc |
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Speciality | Psychologist |
Location | 105 E Center St, Mebane, North Carolina |
Authorized Official Name and Position | Charles K. Burnett (PRESIDENT) |
Authorized Official Contact | 9195632140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mebane Behavioral Health, Pc 105 E Center St Suite B-3 Mebane NC 27302-2420 Ph: (919) 563-2140 | Mebane Behavioral Health, Pc 105 E Center St Suite B-3 Mebane NC 27302-2420 Ph: (919) 563-2140 |
NPI Number | 1487977021 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Medicare PECOS PAC ID | 8426185968 |
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Medicare Enrollment ID | O20100415000050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487977021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2046 (North Carolina) | Primary |
Provider Name | Charles K Burnett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295749745 PECOS PAC ID: 5698839181 Enrollment ID: I20100415000065 |
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