| |
811 N Main Street Creedmoor NC 27524 | |
(919) 880-5694 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 811 N Main Street, Creedmoor, North Carolina |
Authorized Official Name and Position | Troy T Kane (OWNER) |
Authorized Official Contact | 9198805694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 99036 Raleigh NC 27624-9036 Ph: (919) 880-5694 | 811 N Main Street Creedmoor NC 27524 Ph: (919) 880-5694 |
NPI Number | 1922871730 |
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Provider Enumeration Date | 11/02/2023 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922871730 | NPI | - | NPPES |
1184701286 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
The Hope Well America, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 N. Main Street, Creedmoor, NC 27522 Phone: 919-590-0426 | |
Innovative Behavioral Health Services P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Main St, Creedmoor, NC 27522 Phone: 919-529-2474 | |