Five County Css | |
568 Ruin Creek Rd Suite 124 Henderson NC 27536-5921 | |
(919) 851-5114 | |
Not Available |
Full Name | Five County Css |
---|---|
Speciality | Counselor - Mental Health |
Location | 568 Ruin Creek Rd, Henderson, North Carolina |
Authorized Official Name and Position | Tara Fields (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9198515114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Five County Css Po Box 30549 Raleigh NC 27622-0549 Ph: (919) 851-5114 | Five County Css 568 Ruin Creek Rd Suite 124 Henderson NC 27536-5921 Ph: (919) 851-5114 |
NPI Number | 1063574168 |
---|---|
Provider Enumeration Date | 12/14/2006 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063574168 | NPI | - | NPPES |
8300544B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 5 days ago
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Visions Of Greatness, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 S Chestnut St, Henderson, NC 27536 Phone: 252-430-6600 Fax: 252-430-6700 |