| Soc | |
|
1200 Simmons St New Bern NC 28560-4306 | |
| (252) 259-6440 | |
| Not Available |
| Full Name | Soc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1200 Simmons St, New Bern, North Carolina |
| Authorized Official Name and Position | Chrystal Lakesha Simmons (OWNER) |
| Authorized Official Contact | 2523490227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soc 1158 Tebo Rd New Bern NC 28562-8752 Ph: () - | Soc 1200 Simmons St New Bern NC 28560-4306 Ph: (252) 259-6440 |
| NPI Number | 1730945924 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730945924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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