| East Coast Counseling Inc | |
|
620 Lynndale Court Suite C Greenville NC 27858 | |
| (252) 752-8602 | |
| (252) 752-8103 |
| Full Name | East Coast Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 620 Lynndale Court, Greenville, North Carolina |
| Authorized Official Name and Position | Cheryl Denise Gentile (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2527528602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Counseling Inc 620 Lynndale Court Suite C Greenville NC 27858 Ph: (252) 752-8602 | East Coast Counseling Inc 620 Lynndale Court Suite C Greenville NC 27858 Ph: (252) 752-8602 |
| NPI Number | 1548390933 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/04/2014 |
| Medicare PECOS PAC ID | 5496291882 |
|---|---|
| Medicare Enrollment ID | O20240722002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548390933 | NPI | - | NPPES |
| 02188 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Cheryl Gentile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386718658 PECOS PAC ID: 4284170689 Enrollment ID: I20240722003121 |
| Provider Name | William Franklin Thorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487805677 PECOS PAC ID: 7214041482 Enrollment ID: I20240905002183 |
| Provider Name | Janice Britt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134411275 PECOS PAC ID: 0345772257 Enrollment ID: I20241016005000 |
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