| Peoples Network Agency | |
|
4024 Barrett Dr Ste 201 Raleigh NC 27609-6625 | |
| (919) 432-5721 | |
| Not Available |
| Full Name | Peoples Network Agency |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4024 Barrett Dr Ste 201, Raleigh, North Carolina |
| Authorized Official Name and Position | Shawtay Reese (CEO) |
| Authorized Official Contact | 9194325721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Network Agency 3811 Chehaw Dr Raleigh NC 27610-6482 Ph: (919) 559-2692 | Peoples Network Agency 4024 Barrett Dr Ste 201 Raleigh NC 27609-6625 Ph: (919) 432-5721 |
| NPI Number | 1679333827 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 6901347772 |
|---|---|
| Medicare Enrollment ID | O20240919002687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679333827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shawtay D Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245674605 PECOS PAC ID: 2961710637 Enrollment ID: I20150929002270 |
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