| New Progressions, Llc | |
|
620 Guilford College Rd G Greensboro NC 27409-2292 | |
| (336) 254-6770 | |
| (336) 292-1589 |
| Full Name | New Progressions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 620 Guilford College Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Geovon Kenane Martin (CEO/DIRECTOR) |
| Authorized Official Contact | 3362546770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Progressions, Llc 620 Guilford College Rd G Greensboro NC 27409-2292 Ph: (336) 254-6770 | New Progressions, Llc 620 Guilford College Rd G Greensboro NC 27409-2292 Ph: (336) 254-6770 |
| NPI Number | 1164726634 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 11/16/2011 |
| Medicare PECOS PAC ID | 4284818857 |
|---|---|
| Medicare Enrollment ID | O20151222000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164726634 | NPI | - | NPPES |
| 3410135 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ranjan Avasthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801068507 PECOS PAC ID: 1658540356 Enrollment ID: I20110815000741 |
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