| Riverside Community Supports, Inc. | |
|
101 Mitchell St N Ahoskie NC 27910-3029 | |
| (252) 862-4111 | |
| (252) 862-4211 |
| Full Name | Riverside Community Supports, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Mitchell St N, Ahoskie, North Carolina |
| Authorized Official Name and Position | Antwane Heckstall (CEO PRESIDENT) |
| Authorized Official Contact | 2528624111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Community Supports, Inc. Po Box 426 Powellsville NC 27967-0426 Ph: (252) 862-4111 | Riverside Community Supports, Inc. 101 Mitchell St N Ahoskie NC 27910-3029 Ph: (252) 862-4111 |
| NPI Number | 1689615528 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689615528 | NPI | - | NPPES |
| 8300813 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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