| Easter Seals Ucp Asap Inc. | |
|
339 Wall Street Yanceyville NC 27379 | |
| (336) 694-1487 | |
| (336) 694-1681 |
| Full Name | Easter Seals Ucp Asap Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 339 Wall Street, Yanceyville, North Carolina |
| Authorized Official Name and Position | Lisa G Sullivan (DIRECTOR OF SUPPORT SERVICES) |
| Authorized Official Contact | 9197849182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp Asap Inc. 134 Wind Chime Ct Raleigh NC 27615-6433 Ph: (919) 784-9182 | Easter Seals Ucp Asap Inc. 339 Wall Street Yanceyville NC 27379 Ph: (336) 694-1487 |
| NPI Number | 1407996812 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407996812 | NPI | - | NPPES |
| 018KJ | Other | NC | NC BCBS |
| 6005861 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Alpha-g Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St Ste 417, Yanceyville, NC 27379 Phone: 336-420-4992 | |
Easter Seals Ucp Asap Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St, Yanceyville, NC 27379 Phone: 336-694-4333 Fax: 336-694-7325 |