| Premier Family Health Care Services Llc | |
|
1704 Hwy 158 Roanoke Rapids NC 27870-8378 | |
| (252) 519-2273 | |
| (252) 535-2399 |
| Full Name | Premier Family Health Care Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1704 Hwy 158, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Stacie Medlin Shearin (PRESIDENT / OWNER) |
| Authorized Official Contact | 2525192273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Health Care Services Llc 1704 Hwy 158 Roanoke Rapids NC 27870-8378 Ph: (252) 519-2273 | Premier Family Health Care Services Llc 1704 Hwy 158 Roanoke Rapids NC 27870-8378 Ph: (252) 519-2273 |
| NPI Number | 1124191119 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 05/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124191119 | NPI | - | NPPES |
| 6005402 | Medicaid | NC | |
| 5904750 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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