| Blue Ridge Mental Health, Pllc | |
|
3740 Brevard Rd #216 Horse Shoe NC 28742-1137 | |
| (336) 515-1193 | |
| Not Available |
| Full Name | Blue Ridge Mental Health, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3740 Brevard Rd #216, Horse Shoe, North Carolina |
| Authorized Official Name and Position | Cecilia P Faust (CLINICAL OUTREACH MANAGER, CO-OWNER) |
| Authorized Official Contact | 3365151193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Mental Health, Pllc 3740 Brevard Rd #216 Horse Shoe NC 28742-1137 Ph: (336) 515-1193 | Blue Ridge Mental Health, Pllc 3740 Brevard Rd #216 Horse Shoe NC 28742-1137 Ph: (336) 515-1193 |
| NPI Number | 1518788686 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 0749710648 |
|---|---|
| Medicare Enrollment ID | O20250207000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518788686 | NPI | - | NPPES |
| Provider Name | Shawn Lee Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841762762 PECOS PAC ID: 4284966078 Enrollment ID: I20250207000089 |
| Provider Name | Michelle Sarette Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291534 PECOS PAC ID: 5991051484 Enrollment ID: I20250416001216 |
Four Circles Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Clear Crossing Ln, Horse Shoe, NC 28742 Phone: 828-891-2221 |