| Path Beyond Potential | |
|
607 Washington St Williamston NC 27892-2645 | |
| (919) 623-5502 | |
| Not Available |
| Full Name | Path Beyond Potential |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 607 Washington St, Williamston, North Carolina |
| Authorized Official Name and Position | Sherman Bernard Boone (CEO,THERAPIST) |
| Authorized Official Contact | 9196235502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Beyond Potential 1220 Southgate Dr Raleigh NC 27610-5095 Ph: (919) 623-5502 | Path Beyond Potential 607 Washington St Williamston NC 27892-2645 Ph: (919) 623-5502 |
| NPI Number | 1659589430 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659589430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005669 (North Carolina) | Primary |
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