| Vitality Clinical Services, Pllc | |
|
300 E Arlington Blvd Ofc 9 Greenville NC 27858-5037 | |
| (252) 220-0288 | |
| Not Available |
| Full Name | Vitality Clinical Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 300 E Arlington Blvd Ofc 9, Greenville, North Carolina |
| Authorized Official Name and Position | Kendrick Burden (MEMBER/OWNER) |
| Authorized Official Contact | 2527173117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Clinical Services, Pllc 300 E Arlington Blvd Ofc 9 Greenville NC 27858-5037 Ph: (252) 220-0288 | Vitality Clinical Services, Pllc 300 E Arlington Blvd Ofc 9 Greenville NC 27858-5037 Ph: (252) 220-0288 |
| NPI Number | 1366004848 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/25/2020 |
| Medicare PECOS PAC ID | 2466874821 |
|---|---|
| Medicare Enrollment ID | O20200612001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366004848 | NPI | - | NPPES |
| Provider Name | Sheena Renee Barrett Burden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558838805 PECOS PAC ID: 3375965734 Enrollment ID: I20200612001819 |
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