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542 Williamson Rd Suite 6 Mooresville NC 28117-8193 | |
| (919) 790-8580 | |
| (919) 866-3255 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 542 Williamson Rd, Mooresville, North Carolina |
| Authorized Official Name and Position | Charles Davis (STATE DIRECTOR) |
| Authorized Official Contact | 9197908580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3125 Poplarwood Ct Suite 300 Raleigh NC 27604-1084 Ph: (919) 790-8580 | 542 Williamson Rd Suite 6 Mooresville NC 28117-8193 Ph: (919) 790-8580 |
| NPI Number | 1144352360 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144352360 | NPI | - | NPPES |
| 8303026 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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 | |