| Yotaron Enrichment Resource Center | |
|
3106 S Memorial Drive Suite B Greenville NC 27834 | |
| (252) 916-6048 | |
| (252) 758-4539 |
| Full Name | Yotaron Enrichment Resource Center |
|---|---|
| Speciality | Counselor |
| Location | 3106 S Memorial Drive, Greenville, North Carolina |
| Authorized Official Name and Position | Yolanda Bryant (CEO) |
| Authorized Official Contact | 2529166048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yotaron Enrichment Resource Center Po Box 31062 Greenville NC 27833-1062 Ph: (252) 916-6048 | Yotaron Enrichment Resource Center 3106 S Memorial Drive Suite B Greenville NC 27834 Ph: (252) 916-6048 |
| NPI Number | 1376945816 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 1850780107 |
|---|---|
| Medicare Enrollment ID | O20211108002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376945816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 11450 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Charnissa Nicole Batts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804739 PECOS PAC ID: 3678809225 Enrollment ID: I20190719002110 |
| Provider Name | Yolanda Patrice Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669866208 PECOS PAC ID: 3678962925 Enrollment ID: I20240122000297 |
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