| Psych Support Inc. | |
|
211 E Six Forks Rd Bldg. C Suite 108 Raleigh NC 27609-7745 | |
| (919) 850-3480 | |
| (919) 899-6330 |
| Full Name | Psych Support Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 211 E Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Michael Golding (OWNER) |
| Authorized Official Contact | 9198503480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Support Inc. 211 E Six Forks Rd Bldg. C Suite 108 Raleigh NC 27609-7745 Ph: (919) 850-3480 | Psych Support Inc. 211 E Six Forks Rd Bldg. C Suite 108 Raleigh NC 27609-7745 Ph: (919) 850-3480 |
| NPI Number | 1699812651 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699812651 | NPI | - | NPPES |
| 89016N3 | Medicaid | NC | |
| 8301505 | Medicaid | NC | |
| 8301505G | Medicaid | NC | |
| 6005068 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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