| Mrs Madonna Brown, NCC, LPC, CCMHC | |
|
1503-h Wayne Memorial Dr, Goldsboro, NC 27534-2231 | |
| (919) 330-4576 | |
| (919) 581-5017 |
| Full Name | Mrs Madonna Brown |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1503-h Wayne Memorial Dr, Goldsboro, 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 |
|---|---|---|---|
| 1396982880 | NPI | - | NPPES |
| 6104118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7277 (North Carolina) | Primary |
| Entity Name | Life Recovery Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538582259 PECOS PAC ID: 6608227814 Enrollment ID: O20240111002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Madonna Brown, NCC, LPC, CCMHC Po Box 10494, Goldsboro, NC 27532-0494 Ph: (919) 440-6197 | Mrs Madonna Brown, NCC, LPC, CCMHC 1503-h Wayne Memorial Dr, Goldsboro, NC 27534-2231 Ph: (919) 330-4576 |
Beverly Charmaine Cates, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119 | |
Katrina C Williams, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St Ste 300, Goldsboro, NC 27530 Phone: 919-709-1692 | |
Crystal Daye Price, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Mrs. Mary Anita Vannoske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050 | |
Caleb Harding, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 111 S George St, Goldsboro, NC 27530 Phone: 984-444-0586 | |
Courtney Allison Van Kleeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Ash St, Goldsboro, NC 27530 Phone: 252-208-0027 | |
Mr. Albert Bernard Barron, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Cashwell Dr Ste 3, Goldsboro, NC 27534 Phone: 919-751-8989 Fax: 919-751-1616 |