| Advantage Behavioral Healthcare Inc. | |
|
732 Davis Avenue Whiteville NC 28472-6002 | |
| (910) 640-1038 | |
| (910) 640-1465 |
| Full Name | Advantage Behavioral Healthcare Inc. |
|---|---|
| Speciality | Counselor |
| Location | 732 Davis Avenue, Whiteville, North Carolina |
| Authorized Official Name and Position | Kenneth Clyde Hunt (CEO) |
| Authorized Official Contact | 9106401038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Behavioral Healthcare Inc. Po Box 1383 Whiteville NC 28472-1383 Ph: (910) 640-1038 | Advantage Behavioral Healthcare Inc. 732 Davis Avenue Whiteville NC 28472-6002 Ph: (910) 640-1038 |
| NPI Number | 1689750663 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 01/25/2011 |
| Medicare PECOS PAC ID | 3779771316 |
|---|---|
| Medicare Enrollment ID | O20101222000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689750663 | NPI | - | NPPES |
| 8301619B | Medicaid | NC | |
| 8303168 | Medicaid | NC | |
| 5906566 | Medicaid | NC | |
| 8301619 | Medicaid | NC | |
| 3418242 | Medicaid | NC | |
| 6005978 | Medicaid | NC | |
| 8302582R | Medicaid | NC | |
| 8302158-B | Medicaid | NC | |
| 8302158-G | Medicaid | NC | |
| 8302629G | Medicaid | NC | |
| 8303168R | Medicaid | NC | |
| 5968204 | Medicaid | NC | |
| 8301619H | Medicaid | NC | |
| 8303167R | Medicaid | NC | |
| 8702269 | Medicaid | NC | |
| 3418282 | Medicaid | NC | |
| 8302158 | Medicaid | NC | |
| 8303167 | Medicaid | NC | |
| 8302158-H | Medicaid | NC |
| Provider Name | Thomas A Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366485443 PECOS PAC ID: 0749372415 Enrollment ID: I20070827000059 |
| Provider Name | Elizabeth Ashley Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598147142 PECOS PAC ID: 1951699321 Enrollment ID: I20161018001585 |
| Provider Name | Candice Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528431814 PECOS PAC ID: 6305188566 Enrollment ID: I20190508002706 |
| Provider Name | Tarisha L Mccullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164831178 PECOS PAC ID: 2567793367 Enrollment ID: I20191009000946 |
| Provider Name | Estella B Ferrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891148862 PECOS PAC ID: 4183081045 Enrollment ID: I20230607003338 |
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