| Personalized Therapy Inc | |
|
2313 Executive Cir Ste B Greenville NC 27834-3744 | |
| (252) 353-4968 | |
| (252) 353-4967 |
| Full Name | Personalized Therapy Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2313 Executive Cir Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Kimberly Beth Mcintyre (PRESIDENT CLINICAL DIRECTOR) |
| Authorized Official Contact | 2523534968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Therapy Inc 2317 Executive Cir Ste B Greenville NC 27834-3762 Ph: (252) 353-4968 | Personalized Therapy Inc 2313 Executive Cir Ste B Greenville NC 27834-3744 Ph: (252) 353-4968 |
| NPI Number | 1891864492 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891864492 | NPI | - | NPPES |
| 8300828 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | MHL074217 (North Carolina) | Secondary |
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