| Nc Mentor | |
|
800 Jefferson St Suite 114 Whiteville NC 28472-3710 | |
| (910) 642-3598 | |
| (910) 642-3815 |
| Full Name | Nc Mentor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 800 Jefferson St, Whiteville, North Carolina |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | Nc Mentor 800 Jefferson St Suite 114 Whiteville NC 28472-3710 Ph: (910) 642-3598 |
| NPI Number | 1336324987 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 03/05/2023 |
| Certification Date | 03/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336324987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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