Saved Foundation Inc | |
3755 Admiral Dr Ste 105b High Point NC 27265-1554 | |
(336) 617-3152 | |
Not Available |
Full Name | Saved Foundation Inc |
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Speciality | Counselor |
Location | 3755 Admiral Dr Ste 105b, High Point, North Carolina |
Authorized Official Name and Position | Latoya Robinson (CEO) |
Authorized Official Contact | 3364099709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saved Foundation Inc 5509b W Friendly Ave Ste 104 Greensboro NC 27410-4249 Ph: (336) 617-3152 | Saved Foundation Inc 3755 Admiral Dr Ste 105b High Point NC 27265-1554 Ph: (336) 617-3152 |
NPI Number | 1821394057 |
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Provider Enumeration Date | 02/06/2011 |
Last Update Date | 06/29/2021 |
Certification Date | 06/29/2021 |
Medicare PECOS PAC ID | 0446568372 |
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Medicare Enrollment ID | O20200603002560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821394057 | NPI | - | NPPES |
Provider Name | Masoud Hejazi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932156056 PECOS PAC ID: 3173508546 Enrollment ID: I20040621000649 |
Provider Name | Swati S Dakoriya |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417012618 PECOS PAC ID: 2567496318 Enrollment ID: I20050921001037 |
Provider Name | Kelly A Virgil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992743991 PECOS PAC ID: 6406863927 Enrollment ID: I20060308000554 |
Provider Name | Susan A Fuller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013082288 PECOS PAC ID: 2365595212 Enrollment ID: I20090724000716 |
Provider Name | Tawana Walker Barrow |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134177298 PECOS PAC ID: 2365334190 Enrollment ID: I20090909000792 |
Provider Name | Chasidy Alston |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417498593 PECOS PAC ID: 4789931890 Enrollment ID: I20180720001014 |
Provider Name | Suzette Marie Hager |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629389986 PECOS PAC ID: 2264854371 Enrollment ID: I20200618001717 |
Provider Name | Allan Marcos Faircloth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457876591 PECOS PAC ID: 1951796176 Enrollment ID: I20220324001305 |
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