| Psychology South, Pllc | |
|
4 Sourwood Dr Mills River NC 28759-1960 | |
| (704) 608-2142 | |
| Not Available |
| Full Name | Psychology South, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Sourwood Dr, Mills River, North Carolina |
| Authorized Official Name and Position | Corinne Secrest (OWNER) |
| Authorized Official Contact | 7046082142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology South, Pllc 4 Sourwood Dr Mills River NC 28759-1960 Ph: (704) 608-2142 | Psychology South, Pllc 4 Sourwood Dr Mills River NC 28759-1960 Ph: (704) 608-2142 |
| NPI Number | 1215613872 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 2466812169 |
|---|---|
| Medicare Enrollment ID | O20230712004656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215613872 | NPI | - | NPPES |
| 1710120738 | Other | NC | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Corinne S Secrest |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710120738 PECOS PAC ID: 4981959756 Enrollment ID: I20230713002305 |
Horsepower Of North Carolina, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Baler Drive, Mills River, NC 28759 Phone: 828-775-5740 | |
Silver Ridge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Old Turnpike Rd, Mills River, NC 28759 Phone: 828-891-8227 Fax: 828-350-1300 |