| School Health Alliance For Forsyth County | |
|
4555 Ogburn Ave Winston Salem NC 27105-2726 | |
| (336) 703-4273 | |
| (336) 661-4954 |
| Full Name | School Health Alliance For Forsyth County |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4555 Ogburn Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Tracy Bradshaw (OFFICE MANAGER) |
| Authorized Official Contact | 3367137188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Health Alliance For Forsyth County Medical Center Blvd Wfbh-school Health Alliance Winston Salem NC 27157-0001 Ph: (336) 713-7188 | School Health Alliance For Forsyth County 4555 Ogburn Ave Winston Salem NC 27105-2726 Ph: (336) 703-4273 |
| NPI Number | 1982732269 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982732269 | NPI | - | NPPES |
| 6005804 | Medicaid | NC | |
| 011N0 | Other | NC | BLUE CROSS - BLUE SHIELD |
| A9495 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
Disability Advocacy And Information Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8064 N Point Blvd, Suite 102, Winston Salem, NC 27106 Phone: 336-896-0900 Fax: 336-896-0901 | |
Lyfes New Direction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Marshall St # 65, Winston Salem, NC 27101 Phone: 336-721-4261 Fax: 336-721-4265 | |
Evolve Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 Peters Creek Pkwy Ste 101, Winston Salem, NC 27103 Phone: 336-725-9135 Fax: 336-725-9139 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 University Pkwy, Ste 101, Winston Salem, NC 27106 Phone: 336-397-1560 | |
Managing Overwhelming Moments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Stafford Place Cir Apt 103, Winston Salem, NC 27127 Phone: 919-218-6286 | |
Alexander Youth Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd Ste 260, Winston Salem, NC 27106 Phone: 336-724-1412 Fax: 336-724-1464 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Highland Ave, Winston Salem, NC 27101 Phone: 336-657-8523 Fax: 336-723-0645 |