| Ms Caitlin Lane Faulk, LCMHC, LCAS | |
|
120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | |
| (910) 754-4515 | |
| Not Available |
| Full Name | Ms Caitlin Lane Faulk |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 120 Coastal Horizons Dr, Shallotte, 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 |
|---|---|---|---|
| 1497191050 | NPI | - | NPPES |
| Entity Name | Ase Ltc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962182881 PECOS PAC ID: 8224571385 Enrollment ID: O20240617003232 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Caitlin Lane Faulk, LCMHC, LCAS 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Ms Caitlin Lane Faulk, LCMHC, LCAS 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515 |
Brooke Simpson, LCMHCA Counselor Medicare: Medicare Enrolled Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Dr. Linda Sue Rieth, PHD, LPCA, AFC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Mrs. Evelyn Margaret Thomas, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 | |
Sarah Spell, LCSWA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS, Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-251-5324 | |
Samantha Sessoms, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-341-5779 | |
Kelleyanne Helene Lonergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-617-0222 |