Crystal Shamar Graham, LCAS | |
8025 N Point Blvd Ste 283, Winston Salem, NC 27106-3860 | |
(336) 842-3396 | |
(336) 245-1804 |
Full Name | Crystal Shamar Graham |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 8025 N Point Blvd Ste 283, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952879827 | NPI | - | NPPES |
1235876988 | Medicaid | NC | |
1952879827 | Medicaid | NC | |
25548833 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Pathways To Self Reliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235876988 PECOS PAC ID: 6608306972 Enrollment ID: O20250217001103 |
Mailing Address | Practice Location Address |
---|---|
Crystal Shamar Graham, LCAS 8025 N Point Blvd Ste 283, Winston Salem, NC 27106-3860 Ph: (336) 920-1481 | Crystal Shamar Graham, LCAS 8025 N Point Blvd Ste 283, Winston Salem, NC 27106-3860 Ph: (336) 842-3396 |
Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523 | |
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260 | |
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628 | |
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464 | |
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999 | |
Amanda Grace Connelly, Counselor Medicare: Medicare Enrolled Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620 | |
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022 |