| Thriveworks Clinical - North Carolina Pc | |
|
8406 Six Forks Rd Ste 104 Raleigh NC 27615-3075 | |
| (919) 424-6045 | |
| (617) 379-0496 |
| Full Name | Thriveworks Clinical - North Carolina Pc |
|---|---|
| Speciality | Counselor |
| Location | 8406 Six Forks Rd Ste 104, Raleigh, North Carolina |
| Authorized Official Name and Position | Anthony Centore (OWNER) |
| Authorized Official Contact | 9194246045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Clinical - North Carolina Pc 1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 Ph: (919) 424-6045 | Thriveworks Clinical - North Carolina Pc 8406 Six Forks Rd Ste 104 Raleigh NC 27615-3075 Ph: (919) 424-6045 |
| NPI Number | 1003303082 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 8527471200 |
|---|---|
| Medicare Enrollment ID | O20210120000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003303082 | NPI | - | NPPES |
| 0701005634 | Other | VA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tamatha E Arms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043425572 PECOS PAC ID: 0547353401 Enrollment ID: I20070907000749 |
| Provider Name | Tori Charlotte Sweeting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255391223 PECOS PAC ID: 0840376885 Enrollment ID: I20080331000409 |
| Provider Name | Karen Gall |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1326134727 PECOS PAC ID: 1254527906 Enrollment ID: I20101122000166 |
| Provider Name | Carol Renee Counts Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558679050 PECOS PAC ID: 9537355763 Enrollment ID: I20101130000248 |
| Provider Name | Amanda Lavaughn Kluttz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225175235 PECOS PAC ID: 7012104961 Enrollment ID: I20101206000187 |
| Provider Name | Travonia W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326340217 PECOS PAC ID: 1658550926 Enrollment ID: I20110119001093 |
| Provider Name | Huguette A Curah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881801041 PECOS PAC ID: 5294970216 Enrollment ID: I20130322000245 |
| Provider Name | Evanna C Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255504742 PECOS PAC ID: 0648415455 Enrollment ID: I20130327000519 |
| Provider Name | Tamiqua Shaunte Jackson Luckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750717179 PECOS PAC ID: 3577792886 Enrollment ID: I20140207001668 |
| Provider Name | Maria S Priest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508990383 PECOS PAC ID: 5991938359 Enrollment ID: I20140509000676 |
| Provider Name | Mary F Tayal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376639724 PECOS PAC ID: 0840392973 Enrollment ID: I20140821002568 |
| Provider Name | Melina J Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790030740 PECOS PAC ID: 2769602101 Enrollment ID: I20141006002512 |
| Provider Name | Amy L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386986073 PECOS PAC ID: 5698090587 Enrollment ID: I20150218000233 |
| Provider Name | Barbara Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760747992 PECOS PAC ID: 4082930375 Enrollment ID: I20150304000689 |
| Provider Name | Payal Khanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679960009 PECOS PAC ID: 2769796424 Enrollment ID: I20150808015963 |
| Provider Name | Amy Locklear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356722946 PECOS PAC ID: 7214246164 Enrollment ID: I20151016000412 |
| Provider Name | Monique L Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972719 PECOS PAC ID: 7719296144 Enrollment ID: I20151026000197 |
| Provider Name | Jody Lynne Suda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780639948 PECOS PAC ID: 6608165014 Enrollment ID: I20160524001095 |
| Provider Name | Marisha L Mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609253681 PECOS PAC ID: 8426340985 Enrollment ID: I20160705000052 |
| Provider Name | Fred Sk Amematsro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735825 PECOS PAC ID: 4789979352 Enrollment ID: I20160822000566 |
| Provider Name | Nancy Capel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215028063 PECOS PAC ID: 7315092806 Enrollment ID: I20170214000074 |
| Provider Name | Tremika R Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217208 PECOS PAC ID: 6507141876 Enrollment ID: I20170329000703 |
| Provider Name | Donna B Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275079998 PECOS PAC ID: 8628354867 Enrollment ID: I20170424001689 |
| Provider Name | Wendy C Krull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689107039 PECOS PAC ID: 8224308432 Enrollment ID: I20170720002539 |
| Provider Name | Samuel M Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306250949 PECOS PAC ID: 8921372137 Enrollment ID: I20170926002925 |
| Provider Name | Camellia Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445905 PECOS PAC ID: 0547535767 Enrollment ID: I20171013000628 |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20171109003027 |
| Provider Name | Patricia A Krikorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124302849 PECOS PAC ID: 5991066763 Enrollment ID: I20180220000592 |
| Provider Name | Sarah Larson Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205226685 PECOS PAC ID: 5193076370 Enrollment ID: I20180927000953 |
| Provider Name | Shaniqua Trichelle Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982157061 PECOS PAC ID: 3072857986 Enrollment ID: I20181204002095 |
| Provider Name | Ashley Nicole Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407396070 PECOS PAC ID: 0941540264 Enrollment ID: I20190325001555 |
| Provider Name | Caroline Christina Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584610 PECOS PAC ID: 7315289139 Enrollment ID: I20190426001826 |
| Provider Name | Alison Jayde Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497275721 PECOS PAC ID: 4789926148 Enrollment ID: I20190504000042 |
| Provider Name | Sara Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962956748 PECOS PAC ID: 4587997572 Enrollment ID: I20190606000437 |
| Provider Name | Amanda C Clerkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003905738 PECOS PAC ID: 4880799436 Enrollment ID: I20191114002316 |
| Provider Name | Rikki Martin Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386288256 PECOS PAC ID: 0941634273 Enrollment ID: I20191219001895 |
| Provider Name | Christine M Ridley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588144034 PECOS PAC ID: 0840624094 Enrollment ID: I20191223001156 |
| Provider Name | Shalon Evette Bobbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750593 PECOS PAC ID: 9739513649 Enrollment ID: I20200102000037 |
| Provider Name | Felicia Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861046732 PECOS PAC ID: 5092140277 Enrollment ID: I20200116000167 |
| Provider Name | Jamie L Wiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881938926 PECOS PAC ID: 5890949382 Enrollment ID: I20200612002550 |
| Provider Name | Ha Thi Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861961518 PECOS PAC ID: 3173947900 Enrollment ID: I20200727000393 |
| Provider Name | Natalie Lewis West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297473 PECOS PAC ID: 4789002734 Enrollment ID: I20200908003162 |
| Provider Name | Mallory R Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588183602 PECOS PAC ID: 0941628390 Enrollment ID: I20200916002011 |
| Provider Name | Sharon Jean Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336634047 PECOS PAC ID: 3779994603 Enrollment ID: I20201128000074 |
| Provider Name | Danielle Karen Segar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700486651 PECOS PAC ID: 9739599473 Enrollment ID: I20210203000165 |
| Provider Name | Jean T Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558594101 PECOS PAC ID: 6800201690 Enrollment ID: I20210208001814 |
| Provider Name | Ky-sha Denise Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891225124 PECOS PAC ID: 1850706359 Enrollment ID: I20210216000482 |
| Provider Name | Miranda Jade Bradshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184104739 PECOS PAC ID: 0345655601 Enrollment ID: I20210218000961 |
| Provider Name | Jalessa Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447960 PECOS PAC ID: 3870909419 Enrollment ID: I20210308000160 |
| Provider Name | Halbreonda Mcneill Holloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447789508 PECOS PAC ID: 1456767862 Enrollment ID: I20210310000957 |
| Provider Name | Alexandria Ehrnsberger Bounds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679114789 PECOS PAC ID: 4587070917 Enrollment ID: I20210310001536 |
| Provider Name | Stephanie Jo Pierrenoel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184901902 PECOS PAC ID: 5092122978 Enrollment ID: I20210319001049 |
| Provider Name | Andrew R Chema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053572560 PECOS PAC ID: 0648394452 Enrollment ID: I20210408000390 |
| Provider Name | Meagan Louise Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881271484 PECOS PAC ID: 4688082571 Enrollment ID: I20210413002962 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477627651 PECOS PAC ID: 4587907282 Enrollment ID: I20210422000085 |
| Provider Name | Katie Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770921751 PECOS PAC ID: 9739421025 Enrollment ID: I20210428001961 |
| Provider Name | Johnesha Maggie Truesdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316436769 PECOS PAC ID: 8123437605 Enrollment ID: I20210513000949 |
| Provider Name | Angela Marie Rasheed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144840943 PECOS PAC ID: 5698180651 Enrollment ID: I20210601001099 |
| Provider Name | Alina Lis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417532581 PECOS PAC ID: 3577962935 Enrollment ID: I20210604001593 |
| Provider Name | Christopher Betley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922695501 PECOS PAC ID: 9537569777 Enrollment ID: I20210610000419 |
| Provider Name | Anjanette Tschupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629279849 PECOS PAC ID: 9234539883 Enrollment ID: I20210618000258 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20210630004040 |
| Provider Name | Molly Mcdonnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124422696 PECOS PAC ID: 5496158065 Enrollment ID: I20210721000466 |
| Provider Name | Darryl G Mccarroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851957203 PECOS PAC ID: 1153693346 Enrollment ID: I20210721000801 |
| Provider Name | Carla Primo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851305171 PECOS PAC ID: 5496750986 Enrollment ID: I20210728000092 |
| Provider Name | Courtney Larchelle Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558940726 PECOS PAC ID: 1658775986 Enrollment ID: I20210810000489 |
| Provider Name | Katherine Milberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821619800 PECOS PAC ID: 1456778422 Enrollment ID: I20210819001167 |
| Provider Name | Virginia Faye Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427625128 PECOS PAC ID: 1254737018 Enrollment ID: I20210902002762 |
| Provider Name | William Austin Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003480393 PECOS PAC ID: 2961809637 Enrollment ID: I20210922002324 |
| Provider Name | Valerie Ann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972188928 PECOS PAC ID: 8224436209 Enrollment ID: I20211005002318 |
| Provider Name | Jessie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528625282 PECOS PAC ID: 3274931720 Enrollment ID: I20211013002305 |
| Provider Name | Maleah Eve Koppa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396416665 PECOS PAC ID: 4981002383 Enrollment ID: I20211015001837 |
| Provider Name | Elizabeth Diane Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427632710 PECOS PAC ID: 6406254796 Enrollment ID: I20211018002973 |
| Provider Name | Emily Loren Carvajal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184932550 PECOS PAC ID: 2860880788 Enrollment ID: I20211026003122 |
| Provider Name | Natalie Jane Warta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457846909 PECOS PAC ID: 8426446188 Enrollment ID: I20211028002834 |
| Provider Name | Brian James Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003570920 PECOS PAC ID: 2567851728 Enrollment ID: I20211110001565 |
| Provider Name | Yolanda Marie Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790030138 PECOS PAC ID: 3072922954 Enrollment ID: I20211118002815 |
| Provider Name | Kelsey Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285270413 PECOS PAC ID: 6901209188 Enrollment ID: I20211207000301 |
| Provider Name | Asenath Anne Devaney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043692833 PECOS PAC ID: 0648660597 Enrollment ID: I20211208000379 |
| Provider Name | Ieachia T Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003485699 PECOS PAC ID: 0042600710 Enrollment ID: I20211213000605 |
| Provider Name | Chiquana Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114275591 PECOS PAC ID: 1759771447 Enrollment ID: I20211213001571 |
| Provider Name | Mary Boger Denina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376211862 PECOS PAC ID: 7315338464 Enrollment ID: I20211227001354 |
| Provider Name | Azalia Pettway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669149506 PECOS PAC ID: 8426448200 Enrollment ID: I20220119001304 |
| Provider Name | Wayne Alan Alston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376805762 PECOS PAC ID: 2365834322 Enrollment ID: I20220125000737 |
| Provider Name | Natasha Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447830526 PECOS PAC ID: 5092109777 Enrollment ID: I20220222002136 |
| Provider Name | Molly Madison Mcgirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215688700 PECOS PAC ID: 7012302185 Enrollment ID: I20220328002179 |
| Provider Name | Stephanie Renfrow O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396499331 PECOS PAC ID: 4789070632 Enrollment ID: I20220401001858 |
| Provider Name | Ashley Susko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417581588 PECOS PAC ID: 6103204003 Enrollment ID: I20220606001512 |
| Provider Name | William Howard Lemley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124286711 PECOS PAC ID: 2163825589 Enrollment ID: I20220630000975 |
| Provider Name | Kimberley M Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164537478 PECOS PAC ID: 6709932007 Enrollment ID: I20220801003019 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20220816001572 |
| Provider Name | Sarah Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801263264 PECOS PAC ID: 0941683312 Enrollment ID: I20220817002600 |
| Provider Name | Dorothy Ragon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487272852 PECOS PAC ID: 6204211527 Enrollment ID: I20220922000325 |
| Provider Name | Sarah Elizabeth Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265140529 PECOS PAC ID: 1658749494 Enrollment ID: I20221129000268 |
| Provider Name | Yolanda Hall-miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821451865 PECOS PAC ID: 3274902697 Enrollment ID: I20221207000934 |
| Provider Name | Kesha Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487364873 PECOS PAC ID: 1052782422 Enrollment ID: I20230123000306 |
| Provider Name | Bonnie Louise Kell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245771914 PECOS PAC ID: 2961873377 Enrollment ID: I20230123002325 |
| Provider Name | Candra N Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316586456 PECOS PAC ID: 8527430115 Enrollment ID: I20230208000301 |
| Provider Name | Samuel Wade Everette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629242219 PECOS PAC ID: 2062884257 Enrollment ID: I20230216002453 |
| Provider Name | Thomas Bartlett Peaden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841999794 PECOS PAC ID: 9931573243 Enrollment ID: I20230327003037 |
| Provider Name | Cassandra Cecelia Sigler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457945735 PECOS PAC ID: 1052786233 Enrollment ID: I20230403000184 |
| Provider Name | Krystal Penman Mangandi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417201989 PECOS PAC ID: 7416322573 Enrollment ID: I20230404000931 |
| Provider Name | Asante Cheyenne Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124644539 PECOS PAC ID: 9032584008 Enrollment ID: I20230404001991 |
| Provider Name | Nabeel Kamal Saad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790212660 PECOS PAC ID: 7517322746 Enrollment ID: I20230424000420 |
| Provider Name | Rebecca Ann Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205365905 PECOS PAC ID: 2062877467 Enrollment ID: I20230508000051 |
| Provider Name | Caroline Wiles Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003490251 PECOS PAC ID: 4789093162 Enrollment ID: I20230509001792 |
| Provider Name | Logan Day Hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427672443 PECOS PAC ID: 7012373459 Enrollment ID: I20230510000534 |
| Provider Name | Brian Hunter Byerly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942710553 PECOS PAC ID: 5597121822 Enrollment ID: I20230511002679 |
| Provider Name | Adina Samone Godette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063022259 PECOS PAC ID: 0345606133 Enrollment ID: I20230522000861 |
| Provider Name | Hayden Lee Blaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407593908 PECOS PAC ID: 5597122895 Enrollment ID: I20230601000187 |
| Provider Name | Kaylyn Nicole Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447806054 PECOS PAC ID: 2062870462 Enrollment ID: I20230616000633 |
| Provider Name | Christian Elaine Beheler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174163067 PECOS PAC ID: 8325408305 Enrollment ID: I20230721003082 |
| Provider Name | Sanne H Henninger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710928460 PECOS PAC ID: 0042670960 Enrollment ID: I20230724001793 |
| Provider Name | Robyn Olsen-nicotra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356473649 PECOS PAC ID: 5698120343 Enrollment ID: I20231016002222 |
| Provider Name | Ava Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366954331 PECOS PAC ID: 2769830967 Enrollment ID: I20231129000556 |
| Provider Name | Victoria Baxter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003365172 PECOS PAC ID: 8224486303 Enrollment ID: I20231130000338 |
| Provider Name | Alan Capistrant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083755193 PECOS PAC ID: 2466800404 Enrollment ID: I20231130002785 |
| Provider Name | Atia Wise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073069068 PECOS PAC ID: 0749638757 Enrollment ID: I20231201001767 |
| Provider Name | Cali Park |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588151153 PECOS PAC ID: 5890143754 Enrollment ID: I20231204000291 |
| Provider Name | Carole Cox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487393682 PECOS PAC ID: 4082062989 Enrollment ID: I20231204001891 |
| Provider Name | Brandie Wesley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134413024 PECOS PAC ID: 5799133518 Enrollment ID: I20231204002896 |
| Provider Name | Christal Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437687332 PECOS PAC ID: 5698123446 Enrollment ID: I20231205000443 |
| Provider Name | Betsy Servis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366876054 PECOS PAC ID: 5496104291 Enrollment ID: I20231205002601 |
| Provider Name | Allyson Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538651195 PECOS PAC ID: 5092164772 Enrollment ID: I20231206002265 |
| Provider Name | Liana Nelson Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700331790 PECOS PAC ID: 4284083924 Enrollment ID: I20231207000315 |
| Provider Name | Jenifer Shadrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780030270 PECOS PAC ID: 0840649596 Enrollment ID: I20231207000658 |
| Provider Name | Danielle Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275252512 PECOS PAC ID: 2567811219 Enrollment ID: I20231207000702 |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710234695 PECOS PAC ID: 7012366776 Enrollment ID: I20231207001161 |
| Provider Name | Jessica Clodfelter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982149142 PECOS PAC ID: 0840649414 Enrollment ID: I20231207001893 |
| Provider Name | Jennifer Deschler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780290817 PECOS PAC ID: 6507215191 Enrollment ID: I20231207002621 |
| Provider Name | Fallon Wall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033636386 PECOS PAC ID: 2567811151 Enrollment ID: I20231207002767 |
| Provider Name | Teresa Capers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336434117 PECOS PAC ID: 9931558533 Enrollment ID: I20231207003175 |
| Provider Name | Neasha Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073170403 PECOS PAC ID: 8426407719 Enrollment ID: I20231212002626 |
| Provider Name | Rakia E Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407956584 PECOS PAC ID: 1951750033 Enrollment ID: I20231214001951 |
| Provider Name | Rhonda Blackburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134632771 PECOS PAC ID: 9931558020 Enrollment ID: I20231214002524 |
| Provider Name | Amy Gillette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366927998 PECOS PAC ID: 5395194260 Enrollment ID: I20231218002843 |
| Provider Name | James Goodwin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457559676 PECOS PAC ID: 1456700327 Enrollment ID: I20231218002955 |
| Provider Name | Laura Pond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245577527 PECOS PAC ID: 2163871039 Enrollment ID: I20231218003026 |
| Provider Name | Omobola Ruff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114645751 PECOS PAC ID: 3577912450 Enrollment ID: I20231218003292 |
| Provider Name | Shannon Gutschick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750733739 PECOS PAC ID: 5193174076 Enrollment ID: I20231218003380 |
| Provider Name | Shannon Sauls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730797200 PECOS PAC ID: 2163871047 Enrollment ID: I20231218003491 |
| Provider Name | Tonjia Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609402346 PECOS PAC ID: 2769831650 Enrollment ID: I20231218003673 |
| Provider Name | Turiya Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437521416 PECOS PAC ID: 1557710449 Enrollment ID: I20231218003773 |
| Provider Name | William Etheridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205466885 PECOS PAC ID: 4082064977 Enrollment ID: I20231218003890 |
| Provider Name | Laurin Oxendine-myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760033310 PECOS PAC ID: 5597115485 Enrollment ID: I20231218004105 |
| Provider Name | Lauren Vandemore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629621735 PECOS PAC ID: 5496105389 Enrollment ID: I20231218004177 |
| Provider Name | Kristyn Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659971372 PECOS PAC ID: 3577913466 Enrollment ID: I20231218004208 |
| Provider Name | Alexandra Latta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467987735 PECOS PAC ID: 8921458811 Enrollment ID: I20231218004241 |
| Provider Name | Leighanne Kellogg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023608759 PECOS PAC ID: 4385094275 Enrollment ID: I20231218004270 |
| Provider Name | Yolanda Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568043933 PECOS PAC ID: 7012367915 Enrollment ID: I20231219000230 |
| Provider Name | Kate Sweatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003327099 PECOS PAC ID: 0648620542 Enrollment ID: I20231219000295 |
| Provider Name | Ida Ham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437505187 PECOS PAC ID: 7618327537 Enrollment ID: I20231219000785 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780253054 PECOS PAC ID: 3971953803 Enrollment ID: I20231219001210 |
| Provider Name | Tammy Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346626595 PECOS PAC ID: 5991155780 Enrollment ID: I20231219003816 |
| Provider Name | Stephanie Skalos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518599166 PECOS PAC ID: 1850741646 Enrollment ID: I20231219004039 |
| Provider Name | James Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821201344 PECOS PAC ID: 5496105280 Enrollment ID: I20231219004065 |
| Provider Name | Sharon Buckner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972889624 PECOS PAC ID: 2668822453 Enrollment ID: I20231219004089 |
| Provider Name | Johanna E Bridges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972191419 PECOS PAC ID: 5395196885 Enrollment ID: I20240109003056 |
| Provider Name | Michael B Marcinowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184005712 PECOS PAC ID: 5799136834 Enrollment ID: I20240112002196 |
| Provider Name | Dejuan Lundy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427290105 PECOS PAC ID: 2466804281 Enrollment ID: I20240117003303 |
| Provider Name | Kimberly Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396337663 PECOS PAC ID: 4688026180 Enrollment ID: I20240119004018 |
| Provider Name | Kimberla Everett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669695086 PECOS PAC ID: 8123470622 Enrollment ID: I20240119004033 |
| Provider Name | Brandi Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205011129 PECOS PAC ID: 9032561535 Enrollment ID: I20240119004040 |
| Provider Name | Dana Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336487230 PECOS PAC ID: 1850743352 Enrollment ID: I20240119004046 |
| Provider Name | Anna Mayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699320564 PECOS PAC ID: 3678925179 Enrollment ID: I20240119004054 |
| Provider Name | Bianca Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952919573 PECOS PAC ID: 6305298803 Enrollment ID: I20240119004059 |
| Provider Name | Julio Villacis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720593783 PECOS PAC ID: 7810349149 Enrollment ID: I20240122004434 |
| Provider Name | Nakumia Nowlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225474067 PECOS PAC ID: 1759734908 Enrollment ID: I20240124002781 |
| Provider Name | Peter Boghdadi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083969521 PECOS PAC ID: 5193178754 Enrollment ID: I20240130003194 |
| Provider Name | Stephanie Anne Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700197159 PECOS PAC ID: 1456704865 Enrollment ID: I20240201000264 |
| Provider Name | Elizabeth Erin Enck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336830900 PECOS PAC ID: 5890138879 Enrollment ID: I20240206004581 |
| Provider Name | Georleena E. Douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487315115 PECOS PAC ID: 8527401132 Enrollment ID: I20240212000916 |
| Provider Name | Jamila Milnes Cainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538774872 PECOS PAC ID: 3476996950 Enrollment ID: I20240212003607 |
| Provider Name | Heather Williams Mcmahon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740462209 PECOS PAC ID: 2567806888 Enrollment ID: I20240214003447 |
| Provider Name | Brandi D Levette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437497195 PECOS PAC ID: 7911341037 Enrollment ID: I20240216002173 |
| Provider Name | Christel Mckoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780180216 PECOS PAC ID: 1052755055 Enrollment ID: I20240219000254 |
| Provider Name | Gayle Denise Bookout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164697595 PECOS PAC ID: 7719321264 Enrollment ID: I20240223000038 |
| Provider Name | Terryn J Maher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336486349 PECOS PAC ID: 1658716022 Enrollment ID: I20240226003150 |
| Provider Name | Josephine Shivers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356103717 PECOS PAC ID: 3375988363 Enrollment ID: I20240229001921 |
| Provider Name | Ta'jhaneya Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528651270 PECOS PAC ID: 5092150979 Enrollment ID: I20240301000881 |
| Provider Name | Stacey Horne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467717504 PECOS PAC ID: 5395181549 Enrollment ID: I20240310000119 |
| Provider Name | Robert Horne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932402542 PECOS PAC ID: 6204272453 Enrollment ID: I20240310000123 |
| Provider Name | Kimberly Azevedo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316437056 PECOS PAC ID: 8921444175 Enrollment ID: I20240310000129 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164065926 PECOS PAC ID: 9830535087 Enrollment ID: I20240310000133 |
| Provider Name | Robin Stitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881257582 PECOS PAC ID: 0749626992 Enrollment ID: I20240310000136 |
| Provider Name | Levi G Galford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154074029 PECOS PAC ID: 2860838968 Enrollment ID: I20240312001158 |
| Provider Name | Emma Pluta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659678175 PECOS PAC ID: 0143666917 Enrollment ID: I20240314003981 |
| Provider Name | Shannon Clay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649515206 PECOS PAC ID: 6507202389 Enrollment ID: I20240314004073 |
| Provider Name | Nakisha D Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417249616 PECOS PAC ID: 3476999194 Enrollment ID: I20240315001843 |
| Provider Name | Amy Hunnicutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962861781 PECOS PAC ID: 8224475611 Enrollment ID: I20240320004172 |
| Provider Name | Kamalpreet Chauhan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437509510 PECOS PAC ID: 9032556428 Enrollment ID: I20240320004220 |
| Provider Name | Karen Hyneck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174260897 PECOS PAC ID: 4587001979 Enrollment ID: I20240320004245 |
| Provider Name | Jasmine Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295265841 PECOS PAC ID: 1759728033 Enrollment ID: I20240321003837 |
| Provider Name | Tomeka Bridges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497369748 PECOS PAC ID: 0345687687 Enrollment ID: I20240322001407 |
| Provider Name | Suzanne Hillin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104172717 PECOS PAC ID: 5496192734 Enrollment ID: I20240322001717 |
| Provider Name | Carmen Michelle Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598932352 PECOS PAC ID: 7618314881 Enrollment ID: I20240322003518 |
| Provider Name | Aereii Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497385595 PECOS PAC ID: 7517305204 Enrollment ID: I20240401000591 |
| Provider Name | Aisha Alston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922364546 PECOS PAC ID: 0042658742 Enrollment ID: I20240401000961 |
| Provider Name | Andrew Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265057830 PECOS PAC ID: 1355789066 Enrollment ID: I20240401001251 |
| Provider Name | Laura Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861828006 PECOS PAC ID: 0941648554 Enrollment ID: I20240402001945 |
| Provider Name | Ryan Adamczyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528305588 PECOS PAC ID: 8921446428 Enrollment ID: I20240403001144 |
| Provider Name | Nosaba Naveed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598396541 PECOS PAC ID: 9032557574 Enrollment ID: I20240403002765 |
| Provider Name | Sharika Mcfadden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881902203 PECOS PAC ID: 1355789892 Enrollment ID: I20240403002933 |
| Provider Name | Iesha Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023503828 PECOS PAC ID: 1850739301 Enrollment ID: I20240403003139 |
| Provider Name | Kellie Person |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669896148 PECOS PAC ID: 9234577685 Enrollment ID: I20240403003438 |
| Provider Name | Esteban Minsk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881091767 PECOS PAC ID: 7113365560 Enrollment ID: I20240403003557 |
| Provider Name | Donald Lee Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942871264 PECOS PAC ID: 8325402738 Enrollment ID: I20240411002422 |
| Provider Name | Kierra Lasha Reed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568951499 PECOS PAC ID: 2264871821 Enrollment ID: I20240415003583 |
| Provider Name | Deborah Bell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588279889 PECOS PAC ID: 5092154500 Enrollment ID: I20240417001052 |
| Provider Name | Ashley C Lanier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073122636 PECOS PAC ID: 5890134209 Enrollment ID: I20240418001674 |
| Provider Name | Aura Labarre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295480093 PECOS PAC ID: 6608218607 Enrollment ID: I20240522001892 |
| Provider Name | Valencia Sanders-davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912242173 PECOS PAC ID: 2567804354 Enrollment ID: I20240524000883 |
| Provider Name | Joanna Linn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518160019 PECOS PAC ID: 5496197147 Enrollment ID: I20240524003645 |
| Provider Name | Ali-marie Mattice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295493153 PECOS PAC ID: 0648712117 Enrollment ID: I20240612001159 |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Reaching Your Goals, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E Six Forks Rd Ste 201, Raleigh, NC 27609 Phone: 919-832-6150 Fax: 919-832-6151 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |