| Amy Grassi Watson, Pc | |
|
4003 Nash St Nw Wilson NC 27896-1130 | |
| (252) 640-2493 | |
| Not Available |
| Full Name | Amy Grassi Watson, Pc |
|---|---|
| Speciality | Counselor |
| Location | 4003 Nash St Nw, Wilson, North Carolina |
| Authorized Official Name and Position | Amy Grassi Watson (PRESIDENT) |
| Authorized Official Contact | 2522451876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Grassi Watson, Pc 4213 Britthill Ln Wilson NC 27893-8146 Ph: (252) 245-1876 | Amy Grassi Watson, Pc 4003 Nash St Nw Wilson NC 27896-1130 Ph: (252) 640-2493 |
| NPI Number | 1275286916 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 4183169618 |
|---|---|
| Medicare Enrollment ID | O20240709003064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275286916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mytajha Rascoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598234155 PECOS PAC ID: 1254746613 Enrollment ID: I20210216002954 |
| Provider Name | Greta V Pittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952889107 PECOS PAC ID: 8325442270 Enrollment ID: I20210813002790 |
| Provider Name | Amy Grassi Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770819849 PECOS PAC ID: 5092250522 Enrollment ID: I20240709003241 |
| Provider Name | Alexander Grey Bass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457008880 PECOS PAC ID: 0345781613 Enrollment ID: I20240926002132 |
| Provider Name | Shelby Dunn Warren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356953384 PECOS PAC ID: 8921528613 Enrollment ID: I20250225002384 |
| Provider Name | Kinsey Owens Womble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851860167 PECOS PAC ID: 3375066871 Enrollment ID: I20250325003065 |
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