| Sustained Serenity Mental Health Services Pllc | |
|
333b S Pointe Dr Winterville NC 28590-9959 | |
| (252) 916-2090 | |
| Not Available |
| Full Name | Sustained Serenity Mental Health Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 333b S Pointe Dr, Winterville, North Carolina |
| Authorized Official Name and Position | Craig Madison Toombs (LICENSED PROVIDER) |
| Authorized Official Contact | 2529162090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sustained Serenity Mental Health Services Pllc Po Box 30831 Greenville NC 27833-0831 Ph: (252) 916-2090 | Sustained Serenity Mental Health Services Pllc 333b S Pointe Dr Winterville NC 28590-9959 Ph: (252) 916-2090 |
| NPI Number | 1346725231 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 1456694843 |
|---|---|
| Medicare Enrollment ID | O20190529001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346725231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Craig M Toombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528361342 PECOS PAC ID: 2365603065 Enrollment ID: I20120405000098 |
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