| Tar Heel Human Services-mental Health Division, Inc. | |
|
193 N. Nc Hwy 41 Beulaville NC 28518 | |
| (910) 298-6207 | |
| (910) 298-6293 |
| Full Name | Tar Heel Human Services-mental Health Division, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 193 N. Nc Hwy 41, Beulaville, North Carolina |
| Authorized Official Name and Position | Michael B. Jones (DIRECTOR) |
| Authorized Official Contact | 9102986207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tar Heel Human Services-mental Health Division, Inc. Po Box 1321 Beulaville NC 28518-1321 Ph: (910) 298-9207 | Tar Heel Human Services-mental Health Division, Inc. 193 N. Nc Hwy 41 Beulaville NC 28518 Ph: (910) 298-6207 |
| NPI Number | 1770564031 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 6800836636 |
|---|---|
| Medicare Enrollment ID | O20050511000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770564031 | NPI | - | NPPES |
| 016UO | Other | NC | BCBS |
| 6005238 | Medicaid | NC | |
| B0547 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kristie J Cavanaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215918578 PECOS PAC ID: 4789661240 Enrollment ID: I20040701001387 |
| Provider Name | Amber S Tuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033190392 PECOS PAC ID: 7911965470 Enrollment ID: I20041230000010 |
| Provider Name | Christa L Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144549254 PECOS PAC ID: 8022141860 Enrollment ID: I20100730000854 |
| Provider Name | Krista C Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780011817 PECOS PAC ID: 1153552864 Enrollment ID: I20140322000006 |
| Provider Name | Michele L Graffam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952638991 PECOS PAC ID: 8628390788 Enrollment ID: I20141201002084 |
| Provider Name | Brittany Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710497714 PECOS PAC ID: 3577990886 Enrollment ID: I20200226002540 |
Alternative Care Treatment Systems, Inc-beulaville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Main St, Beulaville, NC 28518 Phone: 910-826-3694 Fax: 910-826-3695 | |
Tar Heel Human Services-mental Health Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 North Nc Hwy. 41, Beulaville, NC 28518 Phone: 910-298-6207 Fax: 910-298-6293 |