| Personalized Therapy, Inc. | |
|
2317 Executive Cir Ste B Greenville NC 27834-3762 | |
| (252) 353-4968 | |
| (252) 353-4967 |
| Full Name | Personalized Therapy, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2317 Executive Cir Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Kim Mcintyre (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. 2317 Executive Cir Ste B Greenville NC 27834-3762 Ph: (252) 353-4968 |
| NPI Number | 1902028228 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902028228 | NPI | - | NPPES |
| 6005249 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4144 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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