| Springhealth Behavioral Health And Integrated Care North Carolina, Llc | |
|
705 Griffith St Ste 204 Davidson NC 28036-9307 | |
| (502) 297-0133 | |
| (502) 297-0289 |
| Full Name | Springhealth Behavioral Health And Integrated Care North Carolina, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 705 Griffith St Ste 204, Davidson, North Carolina |
| Authorized Official Name and Position | Angie Mattingly (MGR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5024202512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springhealth Behavioral Health And Integrated Care North Carolina, Llc 9901 Linn Station Rd Louisville KY 40223-3808 Ph: (502) 297-0133 | Springhealth Behavioral Health And Integrated Care North Carolina, Llc 705 Griffith St Ste 204 Davidson NC 28036-9307 Ph: (502) 297-0133 |
| NPI Number | 1447752407 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447752407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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