| Psychological Therapeutic Resources Llc | |
|
504 Pollock Street New Bern NC 28562 | |
| (252) 638-3881 | |
| (252) 638-8820 |
| Full Name | Psychological Therapeutic Resources Llc |
|---|---|
| Speciality | Social Worker |
| Location | 504 Pollock Street, New Bern, North Carolina |
| Authorized Official Name and Position | Cindy Lamm (OFFICE MANAGER) |
| Authorized Official Contact | 2526383881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Therapeutic Resources Llc Po Box 777 New Bern NC 28563 Ph: (252) 638-3881 | Psychological Therapeutic Resources Llc 504 Pollock Street New Bern NC 28562 Ph: (252) 638-3881 |
| NPI Number | 1508941238 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820986284 |
|---|---|
| Medicare Enrollment ID | O20040308000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508941238 | NPI | - | NPPES |
| 6005204 | Medicaid | NC | |
| 0245R | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5004 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah S Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336237148 PECOS PAC ID: 1951299346 Enrollment ID: I20040308000818 |
| Provider Name | Michael L Reed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811085673 PECOS PAC ID: 0749178119 Enrollment ID: I20110428000731 |
| Provider Name | Harvie Gayle Westberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992077010 PECOS PAC ID: 6507240926 Enrollment ID: I20220903000094 |
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