New Dimension Group, Llc | |
416 West Ridge Street Rose Hill NC 28458-7412 | |
(910) 233-2813 | |
(910) 350-1330 |
Full Name | New Dimension Group, Llc |
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Speciality | Community/Behavioral Health |
Location | 416 West Ridge Street, Rose Hill, North Carolina |
Authorized Official Name and Position | Constance Olatidoye (OWNER) |
Authorized Official Contact | 9102332813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Dimension Group, Llc Po Box 880 Rose Hill NC 28458-0880 Ph: () - | New Dimension Group, Llc 416 West Ridge Street Rose Hill NC 28458-7412 Ph: (910) 233-2813 |
NPI Number | 1912032475 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0547337123 |
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Medicare Enrollment ID | O20080923000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912032475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Constance Olatidoye |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346300332 PECOS PAC ID: 3375610959 Enrollment ID: I20080923000789 |
Provider Name | Crystal B Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427560747 PECOS PAC ID: 7911357850 Enrollment ID: I20231219001404 |
Provider Name | Sixta T Hall |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538524335 PECOS PAC ID: 7517409071 Enrollment ID: I20240612000858 |
Provider Name | Douglas E Johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447571260 PECOS PAC ID: 2961944343 Enrollment ID: I20240613000776 |
Visions Of Hope Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 N Sycamore St, Rose Hill, NC 28458 Phone: 910-282-0694 | |
New Dimension Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 West Ridge St., Rose Hill, NC 28458 Phone: 910-289-2610 Fax: 910-289-4410 | |
New Dimension Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 West Ridge Street, Rose Hill, NC 28458 Phone: 910-289-2610 |