| |
130 N Steele St Sanford NC 27330-3976 | |
(919) 851-5114 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 130 N Steele St, Sanford, North Carolina |
Authorized Official Name and Position | Tara Fields (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9198515114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 30549 Raleigh NC 27622-0549 Ph: (919) 851-5114 | 130 N Steele St Sanford NC 27330-3976 Ph: (919) 851-5114 |
NPI Number | 1962564070 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962564070 | NPI | - | NPPES |
8300632G | Medicaid | NC | |
8300632B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
North Carolina Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321a Court Square, Sanford, NC 27330 Phone: 919-356-3625 | |
Swanzetta J. Stevenson,lcsw,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Court Sq, Sanford, NC 27330 Phone: 252-548-1510 | |
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