| Easter Seals Ucp Asap Inc. | |
|
339 Wall St Yanceyville NC 27379-9382 | |
| (336) 694-4333 | |
| (336) 694-7325 |
| Full Name | Easter Seals Ucp Asap Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 339 Wall St, Yanceyville, North Carolina |
| Authorized Official Name and Position | Lisa G Sullivan (DIRECTOR OF SUPPORT SERVICES) |
| Authorized Official Contact | 9198658772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp Asap Inc. 3801 Lake Boone Trail Suite 320 Raleigh NC 27607 Ph: (919) 865-8772 | Easter Seals Ucp Asap Inc. 339 Wall St Yanceyville NC 27379-9382 Ph: (336) 694-4333 |
| NPI Number | 1407044779 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407044779 | NPI | - | NPPES |
| 8301522A | Medicaid | NC | |
| 8301522B | 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 |