| Psychotherapeutic Services, Inc | |
|
3 Centerview Dr Hickory Building Suite 150 Greensboro NC 27407-3725 | |
| (336) 834-9664 | |
| (336) 834-9698 |
| Full Name | Psychotherapeutic Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3 Centerview Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Randall Cooper (CFO) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services, Inc Po Box 690 Chestertown MD 21620-0690 Ph: (410) 778-9114 | Psychotherapeutic Services, Inc 3 Centerview Dr Hickory Building Suite 150 Greensboro NC 27407-3725 Ph: (336) 834-9664 |
| NPI Number | 1588707376 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707376 | NPI | - | NPPES |
| 8301699 | Medicaid | NC | |
| 8301699B | Other | NC | COMMUNITY SUPPORT SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
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