| Psycare Of The Triad, Llp | |
|
661 Hartman St Winston Salem NC 27127-7126 | |
| (336) 413-3026 | |
| (336) 413-3026 |
| Full Name | Psycare Of The Triad, Llp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 661 Hartman St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Deborea Winfrey (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3366827432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycare Of The Triad, Llp 661 Hartman St Winston Salem NC 27127-7126 Ph: (336) 413-3026 | Psycare Of The Triad, Llp 661 Hartman St Winston Salem NC 27127-7126 Ph: (336) 413-3026 |
| NPI Number | 1720099385 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720099385 | NPI | - | NPPES |
| 8301783H | Medicaid | NC | |
| 600568 | Medicaid | NC | |
| 8301783G | Medicaid | NC | |
| 6005108 | Medicaid | NC | |
| 8301783B | Medicaid | NC | |
| 02884 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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