| Nc Mentor | |
|
1400 Old Mills Circle Suite B Winston Salem NC 27103-2977 | |
| (919) 790-8580 | |
| (919) 790-8065 |
| Full Name | Nc Mentor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1400 Old Mills Circle, Winston Salem, 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 1400 Old Mills Circle Suite B Winston Salem NC 27103-2977 Ph: (919) 790-8580 |
| NPI Number | 1699810531 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/19/2023 |
| Certification Date | 03/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699810531 | NPI | - | NPPES |
| 6005601 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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