| Our Treatment Center | |
|
4909 Waters Edge Dr 104 Raleigh NC 27606-2462 | |
| (919) 601-1313 | |
| Not Available |
| Full Name | Our Treatment Center |
|---|---|
| Speciality | Counselor |
| Location | 4909 Waters Edge Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Tasha Holland-kornegay (OWNER) |
| Authorized Official Contact | 9196011313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Treatment Center 1702 Sheriff Watson Rd Sanford NC 27332-6720 Ph: (919) 601-1313 | Our Treatment Center 4909 Waters Edge Dr 104 Raleigh NC 27606-2462 Ph: (919) 601-1313 |
| NPI Number | 1134424542 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 07/11/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 6608297254 |
|---|---|
| Medicare Enrollment ID | O20200606000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134424542 | NPI | - | NPPES |
| 6008508 | Medicaid | NC |
| Provider Name | Queensly I Onuzulike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376073056 PECOS PAC ID: 1355777814 Enrollment ID: I20200203000621 |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Reaching Your Goals, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Six Forks Rd Ste 201, Raleigh, NC 27609 Phone: 919-832-6150 Fax: 919-832-6151 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |