| Raven Therapeutic Services | |
|
2444 Commerce Rd Ste 120 Jacksonville NC 28546-7561 | |
| (910) 787-1688 | |
| (910) 338-3135 |
| Full Name | Raven Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2444 Commerce Rd Ste 120, Jacksonville, North Carolina |
| Authorized Official Name and Position | Ashley Garnett (OWNER/THERAPIST) |
| Authorized Official Contact | 9107871688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Therapeutic Services 2444 Commerce Rd Ste 120 Jacksonville NC 28546-7561 Ph: (910) 787-1688 | Raven Therapeutic Services 2444 Commerce Rd Ste 120 Jacksonville NC 28546-7561 Ph: (910) 787-1688 |
| NPI Number | 1780402198 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780402198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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