| Easter Seals Ucp Nc & Va, Inc | |
|
414 W Lebanon St Mount Airy NC 27030-2954 | |
| (336) 786-7079 | |
| (336) 786-6312 |
| Full Name | Easter Seals Ucp Nc & Va, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 414 W Lebanon St, Mount Airy, North Carolina |
| Authorized Official Name and Position | Nasheba Key-allred (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9198658632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp Nc & Va, Inc 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp Nc & Va, Inc 414 W Lebanon St Mount Airy NC 27030-2954 Ph: (336) 786-7079 |
| NPI Number | 1194887695 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194887695 | NPI | - | NPPES |
| 018KJ | Other | NC | NC BCBS GROUP PROVIDER NU |
| 5903514 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9901371 (North Carolina) | Primary |
Easter Seals Ucp North Carolina & Virgina, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
New River Behavioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Riverside Dr, Suite 100, Mount Airy, NC 27030 Phone: 336-783-0357 Fax: 828-262-5687 | |
Behavioral Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2342 S Main St, Mount Airy, NC 27030 Phone: 336-719-1686 Fax: 336-789-2088 | |
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
Choices Counseling & Resource Center Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Main St, Ste 300, Mount Airy, NC 27030 Phone: 336-786-2053 Fax: 336-786-2198 | |
Surry Psr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Franklin St, Mount Airy, NC 27030 Phone: 336-786-1751 | |
Center For Family And Individual Growth, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 W Lake Dr, Mount Airy, NC 27030 Phone: 336-786-7199 Fax: 336-719-2313 |