| Pride In North Carolina, Llc | |
|
231 Commerce St Greenville NC 27858-5029 | |
| (252) 321-8080 | |
| Not Available |
| Full Name | Pride In North Carolina, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 231 Commerce St, Greenville, North Carolina |
| Authorized Official Name and Position | Jason Rutski (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9104521460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride In North Carolina, Llc 231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 | Pride In North Carolina, Llc 231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 |
| NPI Number | 1760420186 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 9638105869 |
|---|---|
| Medicare Enrollment ID | O20050711000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760420186 | NPI | - | NPPES |
| 6005302 | Medicaid | NC | |
| 6005356 | Medicaid | NC | |
| 6006660 | Medicaid | NC | |
| 8300245B | Medicaid | NC | |
| 8300245G | Medicaid | NC | |
| 8300247H | Medicaid | NC | |
| 8303103 | Medicaid | NC | |
| 017E1 | Other | NC | BCBSNC |
| 333347 | Other | NC | HEALTH CHOICE |
| 6006644 | Medicaid | NC | |
| 8300246G | Medicaid | NC | |
| 8300581G | Medicaid | NC | |
| 8300244H | Medicaid | NC | |
| 8300338B | Medicaid | NC | |
| 8300581B | Medicaid | NC | |
| 6005355 | Medicaid | NC | |
| 8300244 | Medicaid | NC | |
| 8300245H | Medicaid | NC | |
| 8300246B | Medicaid | NC | |
| 8300338 | Medicaid | NC | |
| 8703008 | Medicaid | NC | |
| 225175471 | Other | NC | HUMANA GOLD CHOICE |
| 341008 | Medicaid | NC | |
| 5900421 | Medicaid | NC | |
| 6005354 | Medicaid | NC | |
| 8300247G | Medicaid | NC | |
| 8300338H | Medicaid | NC | |
| 8300581H | Medicaid | NC | |
| 3410008 | Medicaid | NC | |
| 8300245 | Medicaid | NC | |
| 8300246H | Medicaid | NC | |
| 8300244B | Medicaid | NC | |
| 8300244G | Medicaid | NC | |
| 8300246 | Medicaid | NC | |
| 8300247 | Medicaid | NC | |
| 8300247B | Medicaid | NC | |
| 8300581 | Medicaid | NC |
| Provider Name | Deborah M Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801985205 PECOS PAC ID: 7810998036 Enrollment ID: I20070130000516 |
| Provider Name | Robert M Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275693517 PECOS PAC ID: 1355321340 Enrollment ID: I20071121000556 |
| Provider Name | Myron Falkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598196198 PECOS PAC ID: 6103059480 Enrollment ID: I20140513000731 |
| Provider Name | Allison Danielle Stancill Cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396246286 PECOS PAC ID: 3274897376 Enrollment ID: I20180425001382 |
| Provider Name | Vincent M Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235288507 PECOS PAC ID: 4082769948 Enrollment ID: I20200204002479 |
| Provider Name | Rosemary W Wallio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770920811 PECOS PAC ID: 0547697716 Enrollment ID: I20200227002263 |
| Provider Name | Judylyn Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316578388 PECOS PAC ID: 5496185167 Enrollment ID: I20200420003254 |
| Provider Name | Mytajha Rascoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598234155 PECOS PAC ID: 1254746613 Enrollment ID: I20210216002954 |
| Provider Name | Michael C Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356959449 PECOS PAC ID: 3173931631 Enrollment ID: I20210421002289 |
| Provider Name | Michelle Marie Fulk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205118536 PECOS PAC ID: 4789848631 Enrollment ID: I20210518001234 |
| Provider Name | Amber C Turlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841575602 PECOS PAC ID: 8022417757 Enrollment ID: I20210528000602 |
| Provider Name | Stephanie D Holderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083215917 PECOS PAC ID: 2567861149 Enrollment ID: I20210602001036 |
| Provider Name | Greta C Vanbree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952889107 PECOS PAC ID: 8325442270 Enrollment ID: I20210813002790 |
| Provider Name | Adam Michael Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366097883 PECOS PAC ID: 8921496621 Enrollment ID: I20211029001357 |
| Provider Name | Amity Storm Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639790876 PECOS PAC ID: 7911389184 Enrollment ID: I20220804000811 |
| Provider Name | Kendra Briann Horne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467946715 PECOS PAC ID: 9234511130 Enrollment ID: I20220808003535 |
| Provider Name | Heather Lynn Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336727460 PECOS PAC ID: 7618351263 Enrollment ID: I20220830003984 |
| Provider Name | Carmen Johnson Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679126759 PECOS PAC ID: 9234513730 Enrollment ID: I20220901001746 |
| Provider Name | Sarah Elizabeth Crump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821673880 PECOS PAC ID: 1759765266 Enrollment ID: I20220901001899 |
| Provider Name | Jennifer Tillman Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109894 PECOS PAC ID: 1557745601 Enrollment ID: I20220908002503 |
| Provider Name | Bradley Wayne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124512066 PECOS PAC ID: 6608242904 Enrollment ID: I20221011001927 |
| Provider Name | Lacey Marie Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275948093 PECOS PAC ID: 7214303551 Enrollment ID: I20221012000430 |
| Provider Name | Jaleesa Chante' Spears |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518516889 PECOS PAC ID: 0143696336 Enrollment ID: I20221012003070 |
| Provider Name | Brianna Nicole Fly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144839986 PECOS PAC ID: 0345611331 Enrollment ID: I20230131001184 |
| Provider Name | Anna Nicole King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548877533 PECOS PAC ID: 6901261809 Enrollment ID: I20230428000173 |
| Provider Name | Dominick Albert Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063175297 PECOS PAC ID: 8820456890 Enrollment ID: I20230623000081 |
| Provider Name | Nahia Zhaimara Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255940870 PECOS PAC ID: 8325406283 Enrollment ID: I20230626000171 |
| Provider Name | Katie Lynn Catton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427679240 PECOS PAC ID: 9638530520 Enrollment ID: I20230725000963 |
| Provider Name | Lauren Murnane Sadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437810348 PECOS PAC ID: 5890143226 Enrollment ID: I20231127000817 |
| Provider Name | Sherelle Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992498430 PECOS PAC ID: 9436504586 Enrollment ID: I20231219000695 |
| Provider Name | Michelle Ann Corbitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982286506 PECOS PAC ID: 2264885045 Enrollment ID: I20240129000872 |
| Provider Name | Malgorzata Stanchak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295379899 PECOS PAC ID: 2961855754 Enrollment ID: I20240129001310 |
| Provider Name | Amanda Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316528326 PECOS PAC ID: 3779936448 Enrollment ID: I20240130000021 |
| Provider Name | Perla Rosanyi Frias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083109029 PECOS PAC ID: 2668825274 Enrollment ID: I20240131001087 |
| Provider Name | Daniel Benjamin Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275128399 PECOS PAC ID: 4284077389 Enrollment ID: I20240206001233 |
| Provider Name | Janice Pepper O'bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508985482 PECOS PAC ID: 6103180070 Enrollment ID: I20240207001350 |
| Provider Name | Jasmine Bombard Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003425901 PECOS PAC ID: 5395188783 Enrollment ID: I20240213003360 |
| Provider Name | Latasha Monique Dais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992362719 PECOS PAC ID: 9739523085 Enrollment ID: I20240215000196 |
| Provider Name | Kylie Anne Tangen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972186047 PECOS PAC ID: 6608210976 Enrollment ID: I20240215000778 |
| Provider Name | Linda Sue Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346996865 PECOS PAC ID: 1254777857 Enrollment ID: I20240305004628 |
| Provider Name | Lauren Pearce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730797507 PECOS PAC ID: 0244676732 Enrollment ID: I20240306003456 |
| Provider Name | Latona Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609342732 PECOS PAC ID: 8628414125 Enrollment ID: I20240306003663 |
| Provider Name | Kate Constance Whitfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497144851 PECOS PAC ID: 7416393426 Enrollment ID: I20240313001398 |
| Provider Name | Alexander West Furches |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306146618 PECOS PAC ID: 8527404490 Enrollment ID: I20240313004120 |
| Provider Name | Tresha Nijae Threet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326625567 PECOS PAC ID: 8123465317 Enrollment ID: I20240322004254 |
| Provider Name | Carolyn O'neill Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992340012 PECOS PAC ID: 7012355662 Enrollment ID: I20240402003333 |
| Provider Name | Lydia Kerns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972269561 PECOS PAC ID: 2860832342 Enrollment ID: I20240501001196 |
| Provider Name | Smeeta Prasai Bhatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578321543 PECOS PAC ID: 2365882586 Enrollment ID: I20240503002469 |
| Provider Name | Lydia Elizabeth Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447673546 PECOS PAC ID: 5698115772 Enrollment ID: I20240507000653 |
| Provider Name | Chelsea Hassell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497238174 PECOS PAC ID: 2163863127 Enrollment ID: I20240508004022 |
| Provider Name | Alyson Anita Crush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407517055 PECOS PAC ID: 4789025529 Enrollment ID: I20240510002995 |
| Provider Name | Destiny Nicole Askew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700544731 PECOS PAC ID: 0345681078 Enrollment ID: I20240513003400 |
Pathways To Life, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Conference Dr, Greenville, NC 27858 Phone: 252-695-0269 Fax: 252-413-0526 | |
Alliance Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 710 Cromwell Dr Ste F, Greenville, NC 27858 Phone: 919-987-0799 | |
Psychological Assessment And Treatment Specialists Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Corporate Dr Ste B, Greenville, NC 27858 Phone: 252-320-9398 Fax: 252-351-3013 | |
Therapeutic Interactions Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Clifton Street, Greenville, NC 27858 Phone: 252-689-8671 Fax: 252-793-2158 | |
All In Counseling And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Greenville Blvd Se Ste 400-293, Greenville, NC 27858 Phone: 252-503-0789 | |
Genesis Inc. Of Nc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Country Club Dr, Suite D, Greenville, NC 27834 Phone: 252-353-0127 | |
Dr. Judith S. Yongue Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Commerce St, D, Greenville, NC 27858 Phone: 252-355-2768 Fax: 252-355-0403 |