| Wilson Greene Mental Health | |
|
1709 Tarboro St Sw Wilson NC 27893-3428 | |
| (252) 399-8021 | |
| Not Available |
| Full Name | Wilson Greene Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1709 Tarboro St Sw, Wilson, North Carolina |
| Authorized Official Name and Position | Nancy Rackley (FINANCE OFFICER) |
| Authorized Official Contact | 2529378141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Greene Mental Health 1709 Tarboro St Sw Wilson NC 27893-3428 Ph: (252) 399-8021 | Wilson Greene Mental Health 1709 Tarboro St Sw Wilson NC 27893-3428 Ph: (252) 399-8021 |
| NPI Number | 1417017963 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417017963 | NPI | - | NPPES |
| 5901818 | Other | NC | PHYSICIAN GROUP NUMBER |
| 6005615 | Other | NC | MULTI-SPECIALTY NUMBER |
| 5901738 | Medicaid | NC | |
| 3408391 | Medicaid | NC | |
| 07196 | Other | NC | BLUE CROSS |
| 3404936 | Other | NC | BILLING PROVIDER NUMBER |
| 8301342 | Medicaid | NC | |
| 8301342G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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