| Sure Foundation Behavioral Health Services, Llc | |
|
3219 Landmark St Ste 3a Greenville NC 27834-7688 | |
| (252) 215-3089 | |
| Not Available |
| Full Name | Sure Foundation Behavioral Health Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3219 Landmark St Ste 3a, Greenville, North Carolina |
| Authorized Official Name and Position | Gale Batts Shiver (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2522153089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sure Foundation Behavioral Health Services, Llc Po Box 8211 Greenville NC 27835-8211 Ph: (252) 215-3089 | Sure Foundation Behavioral Health Services, Llc 3219 Landmark St Ste 3a Greenville NC 27834-7688 Ph: (252) 215-3089 |
| NPI Number | 1700425501 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 12/27/2019 |
| Certification Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700425501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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