| Clearscreen, LLC | |
|
121 Nash St W Wilson NC 27893-4012 | |
| (252) 234-5921 | |
| (888) 386-3166 |
| Full Name | Clearscreen, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 121 Nash St W, Wilson, North Carolina |
| Authorized Official Name and Position | Tommel Hayes (OWNER) |
| Authorized Official Contact | 2522345921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearscreen, LLC 121 Nash St W Wilson NC 27893-4012 Ph: (252) 234-5921 | Clearscreen, LLC 121 Nash St W Wilson NC 27893-4012 Ph: (252) 234-5921 |
| NPI Number | 1124363031 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124363031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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