| Carolina Outreach, Llc | |
|
831 S Brightleaf Blvd Smithfield NC 27577 | |
| (919) 251-9001 | |
| Not Available |
| Full Name | Carolina Outreach, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 831 S Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | Rob Davis (ADMIN SUPPORT) |
| Authorized Official Contact | 9192519001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Outreach, Llc 712 Wilkins St Ste D&e Smithfield NC 27577-4664 Ph: (919) 251-9001 | Carolina Outreach, Llc 831 S Brightleaf Blvd Smithfield NC 27577 Ph: (919) 251-9001 |
| NPI Number | 1285054692 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285054692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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