| Senior Health And Education Partners Pllc | |
|
5306 Nc Highway 55 Ste 105 Durham NC 27713-7812 | |
| (919) 572-9442 | |
| (919) 363-7697 |
| Full Name | Senior Health And Education Partners Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5306 Nc Highway 55 Ste 105, Durham, North Carolina |
| Authorized Official Name and Position | Carol Minnette Gibbs (CEO) |
| Authorized Official Contact | 9195729442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health And Education Partners Pllc 5306 Nc Highway 55 Ste 105 Durham NC 27713-7812 Ph: (919) 572-9442 | Senior Health And Education Partners Pllc 5306 Nc Highway 55 Ste 105 Durham NC 27713-7812 Ph: (919) 572-9442 |
| NPI Number | 1205237245 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 8729304290 |
|---|---|
| Medicare Enrollment ID | O20150226002113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205237245 | NPI | - | NPPES |
| 891234H | Medicaid | NC |
| Provider Name | Richard A Pronto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184692246 PECOS PAC ID: 4981656410 Enrollment ID: I20050214000205 |
| Provider Name | Candice P Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467444679 PECOS PAC ID: 0749220481 Enrollment ID: I20050511001013 |
| Provider Name | Dena C Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669550505 PECOS PAC ID: 1355418989 Enrollment ID: I20080924000457 |
| Provider Name | Dawn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144451568 PECOS PAC ID: 4981731742 Enrollment ID: I20100427000620 |
| Provider Name | Carol Minnette Gibbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174606917 PECOS PAC ID: 9739346867 Enrollment ID: I20120201000591 |
| Provider Name | Penelepe R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548521180 PECOS PAC ID: 2961658752 Enrollment ID: I20120810000056 |
| Provider Name | David W Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831149814 PECOS PAC ID: 4880841493 Enrollment ID: I20120904000023 |
| Provider Name | Patricia J Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427361716 PECOS PAC ID: 5294975801 Enrollment ID: I20130702000502 |
| Provider Name | Tanillya Wilkerson Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645550 PECOS PAC ID: 9436386257 Enrollment ID: I20131223001663 |
| Provider Name | Alisha S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396084 PECOS PAC ID: 0749417574 Enrollment ID: I20131226000233 |
| Provider Name | Michele L Graffam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952638991 PECOS PAC ID: 8628390788 Enrollment ID: I20141201002084 |
| Provider Name | Katherine Kovarik Douros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285000604 PECOS PAC ID: 1254649148 Enrollment ID: I20150925000937 |
| Provider Name | Raina Briggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275939738 PECOS PAC ID: 1951601749 Enrollment ID: I20151201000740 |
| Provider Name | Darrina O Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285002717 PECOS PAC ID: 7810298809 Enrollment ID: I20151216001585 |
| Provider Name | Polly-gean Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922419423 PECOS PAC ID: 8123300282 Enrollment ID: I20170125000838 |
| Provider Name | Tremika R Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217208 PECOS PAC ID: 6507141876 Enrollment ID: I20170329000703 |
| Provider Name | Kimberly Bio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629428461 PECOS PAC ID: 3577835529 Enrollment ID: I20170825000537 |
| Provider Name | Tiffany Dawn Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447793542 PECOS PAC ID: 8123393311 Enrollment ID: I20171016000435 |
| Provider Name | Shelvey J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588900989 PECOS PAC ID: 1153682604 Enrollment ID: I20180227000015 |
| Provider Name | Tyler B Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619485836 PECOS PAC ID: 9032471735 Enrollment ID: I20180316000841 |
| Provider Name | Anna Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245627264 PECOS PAC ID: 2860746120 Enrollment ID: I20181126003494 |
| Provider Name | Stacey Lynn Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093226789 PECOS PAC ID: 2567720592 Enrollment ID: I20181130000400 |
| Provider Name | Shaniqua Trichelle Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982157061 PECOS PAC ID: 3072857986 Enrollment ID: I20181204002095 |
| Provider Name | Lynn Piersall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265978456 PECOS PAC ID: 3577804426 Enrollment ID: I20190403000996 |
| Provider Name | Nicole N Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720509037 PECOS PAC ID: 8224361068 Enrollment ID: I20190610001455 |
| Provider Name | Andrew Todd Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356745590 PECOS PAC ID: 1557698107 Enrollment ID: I20190806001411 |
| Provider Name | Angela Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841843240 PECOS PAC ID: 6305175910 Enrollment ID: I20190906002552 |
| Provider Name | Felicia Tyson-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750791885 PECOS PAC ID: 2961732169 Enrollment ID: I20191002000711 |
| Provider Name | Lisa Mesmer Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486081 PECOS PAC ID: 9638501232 Enrollment ID: I20191120002183 |
| Provider Name | Brandy Lea Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588186969 PECOS PAC ID: 6709210982 Enrollment ID: I20191220001358 |
| Provider Name | Jacqueline L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356982797 PECOS PAC ID: 4789019035 Enrollment ID: I20200115001787 |
| Provider Name | Jessica Dawn Breaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795416 PECOS PAC ID: 7911332143 Enrollment ID: I20200116002310 |
| Provider Name | Timnecia Arrington Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379204 PECOS PAC ID: 6608201603 Enrollment ID: I20200122001170 |
| Provider Name | Tracey Taylor Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649709106 PECOS PAC ID: 6800226366 Enrollment ID: I20200423002273 |
| Provider Name | Renee L Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609306562 PECOS PAC ID: 8426479759 Enrollment ID: I20200522000369 |
| Provider Name | Akua Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669962650 PECOS PAC ID: 0749606069 Enrollment ID: I20200818001427 |
| Provider Name | Tajae Aliyah Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902304991 PECOS PAC ID: 4880013457 Enrollment ID: I20200930003326 |
| Provider Name | Jacquelynn Mclean Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659865244 PECOS PAC ID: 2466862297 Enrollment ID: I20201106001868 |
| Provider Name | Pamela Ann Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801431671 PECOS PAC ID: 2466864368 Enrollment ID: I20201217002676 |
| Provider Name | Danielle Lungelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669918942 PECOS PAC ID: 5092127753 Enrollment ID: I20201222001338 |
| Provider Name | Gerlisa Ronnay Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356812275 PECOS PAC ID: 7719394097 Enrollment ID: I20210405000068 |
| Provider Name | Matthew Antoinne Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720664113 PECOS PAC ID: 1557779907 Enrollment ID: I20210423000169 |
| Provider Name | Lindsey Allsbrook Blanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376110817 PECOS PAC ID: 3072913060 Enrollment ID: I20210614000453 |
| Provider Name | Michelle Lafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578987954 PECOS PAC ID: 5890190805 Enrollment ID: I20210827002956 |
| Provider Name | Yevonnie Alvina Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679721492 PECOS PAC ID: 5890925176 Enrollment ID: I20211122001399 |
| Provider Name | Abidemi Okeowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073261640 PECOS PAC ID: 1355662032 Enrollment ID: I20220616000490 |
| Provider Name | Jackie Kenyetta Mcneill-shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457003865 PECOS PAC ID: 4385022524 Enrollment ID: I20220624000028 |
| Provider Name | Carley Heather Rothstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841790151 PECOS PAC ID: 5597095943 Enrollment ID: I20220727002733 |
| Provider Name | Chandra Nekeya Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053030668 PECOS PAC ID: 8022492172 Enrollment ID: I20220908002392 |
| Provider Name | Sarah Elizabeth Border |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952051393 PECOS PAC ID: 7416333059 Enrollment ID: I20221004003764 |
| Provider Name | Mautrice Devoy Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710616032 PECOS PAC ID: 5799140695 Enrollment ID: I20230428000301 |
| Provider Name | Fatmata Juldeh Koroma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685106 PECOS PAC ID: 9739544131 Enrollment ID: I20230508000263 |
| Provider Name | Kina Kysonia Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477322139 PECOS PAC ID: 1153767587 Enrollment ID: I20240307004010 |
| Provider Name | Audra Lynn Westbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306552658 PECOS PAC ID: 5193166544 Enrollment ID: I20240515004571 |
| Provider Name | Dontay Shawmonick Mcarn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821650631 PECOS PAC ID: 1052854429 Enrollment ID: I20240613004526 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Milicia Tedder Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Spring Creek Dr, Durham, NC 27704 Phone: 919-697-1674 |