| Mountain Youth Resources, Inc. | |
|
151 Desoto Trail Sylva NC 28779 | |
| (828) 586-8958 | |
| (828) 586-0649 |
| Full Name | Mountain Youth Resources, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 151 Desoto Trail, Sylva, North Carolina |
| Authorized Official Name and Position | Matthew Kirkland (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 8285868958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Youth Resources, Inc. Po Box 99 Webster NC 28788-0099 Ph: (828) 586-8958 | Mountain Youth Resources, Inc. 151 Desoto Trail Sylva NC 28779 Ph: (828) 586-8958 |
| NPI Number | 1801840905 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801840905 | NPI | - | NPPES |
| 8300610B | Medicaid | NC | |
| 8301101 | Medicaid | NC | |
| 8301101Q | Medicaid | NC | |
| 8300610G | Medicaid | NC | |
| 8300610H | Medicaid | NC | |
| 017P2 | Other | NC | BCBSNC PROVIDER NUMBER |
| 6005341 | Medicaid | NC | |
| 8300610 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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