| One Love Periodic Services Inc | |
|
100 Queen St Morganton NC 28655-3440 | |
| (828) 433-4567 | |
| Not Available |
| Full Name | One Love Periodic Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 100 Queen St, Morganton, North Carolina |
| Authorized Official Name and Position | Stevie Wideman (OWNER) |
| Authorized Official Contact | 7046405501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Love Periodic Services Inc 100 Queen St Morganton NC 28655-3440 Ph: (828) 433-4567 | One Love Periodic Services Inc 100 Queen St Morganton NC 28655-3440 Ph: (828) 433-4567 |
| NPI Number | 1225187180 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Medicare PECOS PAC ID | 8527354810 |
|---|---|
| Medicare Enrollment ID | O20160913001914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225187180 | NPI | - | NPPES |
| 8301457 | Medicaid | NC | |
| 8301744 | Medicaid | NC |
| Provider Name | Tori Charlotte Sweeting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255391223 PECOS PAC ID: 0840376885 Enrollment ID: I20080331000409 |
| Provider Name | Jordan M Nivens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245528744 PECOS PAC ID: 1759516438 Enrollment ID: I20131105001432 |
| Provider Name | Nicole M Peacock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831428523 PECOS PAC ID: 8527354836 Enrollment ID: I20160913002381 |
| Provider Name | Leesha S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750634416 PECOS PAC ID: 8022439470 Enrollment ID: I20200610002947 |
| Provider Name | Reginald M Gilkesson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467647701 PECOS PAC ID: 3375961048 Enrollment ID: I20200911001380 |
| Provider Name | Brea Anjanee Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942786629 PECOS PAC ID: 3375953821 Enrollment ID: I20201111003034 |
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