| Sixth Avenue Psychiatric Rehabilitation | |
|
527 N Justice St Hendersonville NC 28739-4217 | |
| (828) 697-9765 | |
| Not Available |
| Full Name | Sixth Avenue Psychiatric Rehabilitation |
|---|---|
| Speciality | Psychologist |
| Location | 527 N Justice St, Hendersonville, North Carolina |
| Authorized Official Name and Position | Mary Jo Stark (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8286971581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sixth Avenue Psychiatric Rehabilitation 714 6th Ave W Hendersonville NC 28739-4114 Ph: () - | Sixth Avenue Psychiatric Rehabilitation 527 N Justice St Hendersonville NC 28739-4217 Ph: (828) 697-9765 |
| NPI Number | 1982756136 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982756136 | NPI | - | NPPES |
| 8301703 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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