Full Name | Clearscreen, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 121 Nash St W, Wilson, North Carolina |
Authorized Official Name and Position | Tommel Hayes (OWNER) |
Authorized Official Contact | 2522345921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clearscreen, Llc 121 Nash St W Wilson NC 27893-4012 Ph: (252) 234-5921 | Clearscreen, Llc 121 Nash St W Wilson NC 27893-4012 Ph: (252) 234-5921 |
NPI Number | 1124363031 |
---|---|
Provider Enumeration Date | 12/04/2012 |
Last Update Date | 12/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124363031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
News Archive
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