| Pivotal Health Solutions | |
|
900 Copperfield Blvd Ne Concord NC 28025-2433 | |
| (980) 777-8171 | |
| Not Available |
| Full Name | Pivotal Health Solutions |
|---|---|
| Speciality | Counselor |
| Location | 900 Copperfield Blvd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Shaun Cox (CEO) |
| Authorized Official Contact | 9807778171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Health Solutions 15105d John J Delaney Dr Unit 186 Charlotte NC 28277-2741 Ph: (919) 824-9595 | Pivotal Health Solutions 900 Copperfield Blvd Ne Concord NC 28025-2433 Ph: (980) 777-8171 |
| NPI Number | 1669013041 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 0749654887 |
|---|---|
| Medicare Enrollment ID | O20230313001980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669013041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447896675 PECOS PAC ID: 9234570250 Enrollment ID: I20240508002361 |
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