| Nicole Baltimore, | |
|
503 U.s. 70, Garner, NC 27529-2752 | |
| (984) 800-1020 | |
| Not Available |
| Full Name | Nicole Baltimore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 503 U.s. 70, Garner, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578279253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18279 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thriveworks Clinical - North Carolina Pc | 8527471200 | 114 |
| Entity Name | Pride In North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
| Entity Name | Second Chance Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205341112 PECOS PAC ID: 2961836408 Enrollment ID: O20191217000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Baltimore, 2909 Red Clay Dr Apt 710, Raleigh, NC 27604-3573 Ph: (919) 534-6153 | Nicole Baltimore, 503 U.s. 70, Garner, NC 27529-2752 Ph: (984) 800-1020 |
Andrea J Bell, MA, LCAS-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Turner St., Garner, NC 27529 Phone: 864-430-5007 Fax: 919-662-1809 | |
Chandler Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Timber Dr, Garner, NC 27529 Phone: 984-242-0291 | |
Mrs. Joy W Casey, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 K Technology Dr, Garner, NC 27529 Phone: 919-779-6612 Fax: 919-779-7854 | |
Tonya Upchurch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Aversboro Rd Ste 201, Garner, NC 27529 Phone: 919-329-9400 | |
Alexandria Durr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Timber Dr, Garner, NC 27529 Phone: 919-585-2282 | |
Jacqueline Victoria Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Timber Dr, Garner, NC 27529 Phone: 984-242-0291 | |
Cotina Nicole Smith, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 United St Apt 302, Garner, NC 27529 Phone: 919-520-8417 |