|
| |
|
101 Conner Dr Suite 203 Chapel Hill NC 27514-7038 | |
| (919) 240-5548 | |
| (919) 443-1199 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 101 Conner Dr, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Solomon Kobes (PRESIDENT) |
| Authorized Official Contact | 9192405548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
205 Della St Chapel Hill NC 27516-6050 Ph: (919) 240-5548 | 101 Conner Dr Suite 203 Chapel Hill NC 27514-7038 Ph: (919) 240-5548 |
| NPI Number | 1346601978 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 05/08/2016 |
| Medicare PECOS PAC ID | 1456647171 |
|---|---|
| Medicare Enrollment ID | O20160907000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346601978 | NPI | - | NPPES |
| 2852251 | Other | MEDICARE PTAN | |
| 6106445 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004956 (North Carolina) | Primary |
| Provider Name | Solomon H Kobes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972515393 PECOS PAC ID: 9830241660 Enrollment ID: I20090708000805 |
| Provider Name | Erum Agha-ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003389776 PECOS PAC ID: 7113338625 Enrollment ID: I20201203003073 |
| Provider Name | Laura Byrnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518481381 PECOS PAC ID: 6204234479 Enrollment ID: I20211004000352 |
| Provider Name | Lane Robbins-thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427607407 PECOS PAC ID: 2860860947 Enrollment ID: I20221121002307 |
Freedom House Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 New Stateside Dr, Chapel Hill, NC 27516 Phone: 919-942-2803 Fax: 919-942-2126 | |
Darryl F. Smith, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Cloister Ct, Suite 100, Chapel Hill, NC 27514 Phone: 919-402-4300 Fax: 919-420-4330 | |
Rachel Carroll, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1818 Mlk Blvd # 105, Chapel Hill, NC 27514 Phone: 919-614-9791 | |