| Nu Generation Mental Health Services, Pllc | |
|
717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 | |
| (540) 278-3666 | |
| Not Available |
| Full Name | Nu Generation Mental Health Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 717 Green Valley Rd Ste 200, Greensboro, North Carolina |
| Authorized Official Name and Position | Tasha Latil Burnette (OWNER) |
| Authorized Official Contact | 5402783666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Generation Mental Health Services, Pllc 215 Old Treybrooke Dr Greensboro NC 27406-8145 Ph: (540) 278-3666 | Nu Generation Mental Health Services, Pllc 717 Green Valley Rd Ste 200 Greensboro NC 27408-2156 Ph: (540) 278-3666 |
| NPI Number | 1831930908 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 9830636927 |
|---|---|
| Medicare Enrollment ID | O20240807001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831930908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tasha Latil Burnette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659776151 PECOS PAC ID: 0749727832 Enrollment ID: I20240808003057 |
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