| Myriad Support Center | |
|
3540 Vest Mill Rd Ste 6 Winston Salem NC 27103-2988 | |
| (336) 602-2940 | |
| Not Available |
| Full Name | Myriad Support Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3540 Vest Mill Rd Ste 6, Winston Salem, North Carolina |
| Authorized Official Name and Position | Yussef Lateef Gilkey (CEO) |
| Authorized Official Contact | 3365752002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myriad Support Center 3540 Vest Mill Rd Ste 6 Winston Salem NC 27103-2988 Ph: () - | Myriad Support Center 3540 Vest Mill Rd Ste 6 Winston Salem NC 27103-2988 Ph: (336) 602-2940 |
| NPI Number | 1790097525 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790097525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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