| Supreme Teens, L&c | |
|
14495 Hwy 301 N. Enfield NC 27823 | |
| (252) 467-3407 | |
| (252) 445-1073 |
| Full Name | Supreme Teens, L&c |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14495 Hwy 301 N., Enfield, North Carolina |
| Authorized Official Name and Position | Trevathan Marquette El (DIRECTOR/COORDINATOR) |
| Authorized Official Contact | 2524673407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Teens, L&c 14495 Hwy 301 N. Enfield NC 27823 Ph: (252) 467-3407 | Supreme Teens, L&c 14495 Hwy 301 N. Enfield NC 27823 Ph: (252) 467-3407 |
| NPI Number | 1689934077 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689934077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Carolina Behavioral Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 N Dennis Street, Enfield, NC 27823 Phone: 910-690-6662 Fax: 910-215-0179 | |
Halifax Co. Day Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 S Mcdaniel St, Enfield, NC 27823 Phone: 252-445-1590 Fax: 252-445-1592 | |
New Hope Family And Youth Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S. West Railroad St., Enfield, NC 27823 Phone: 252-287-9218 Fax: 252-537-4559 |