| Jose Hernandez Dominguez, LMFT | |
|
261 Belvoir Hwy, Greenville, NC 27834-8193 | |
| (252) 747-8162 | |
| (252) 747-8163 |
| Full Name | Jose Hernandez Dominguez |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 261 Belvoir Hwy, Greenville, 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 |
|---|---|---|---|
| 1609579804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 10407A (North Carolina) | Primary |
| Entity Name | Greene County Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891798054 PECOS PAC ID: 0648189001 Enrollment ID: O20040117000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Hernandez Dominguez, LMFT 301 Evans St Ste 302, Greenville, NC 27858-1831 Ph: (910) 595-6119 | Jose Hernandez Dominguez, LMFT 261 Belvoir Hwy, Greenville, NC 27834-8193 Ph: (252) 747-8162 |
Dr. Erin Elizabeth Ness Roberts, PHD, LMFT, MSSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 710 Cromwell Dr Ste D, Greenville, NC 27858 Phone: 252-460-2387 | |
Miss Vanessa Gibbs, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 622 S Memorial Dr, Greenville, NC 27834 Phone: 252-353-4250 Fax: 252-353-4228 | |
Mr. Michael Earl Madsen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 261 Belvoir Hwy, Greenville, NC 27834 Phone: 252-695-6352 Fax: 252-695-6359 | |
Mr. Perry Brad Bagley, MS, QP, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3312 Cadenza St, Greenville, NC 27858 Phone: 919-538-2158 | |
Andrea Parady, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1988 Hyde Dr Apt A, Greenville, NC 27858 Phone: 385-335-4581 | |
Kamryn Bunker Clem, MS, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 300 E Arlington Blvd Ste 9, Greenville, NC 27858 Phone: 919-964-1352 | |
Sandra Bunch Walton, LMFT, CNS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1990 Allen Rd, Suite B, Greenville, NC 27834 Phone: 252-758-4554 Fax: 252-758-5561 |