| Easter Seals Ucp North Carolina & Virginia, Inc. | |
| 711 Andrews Ridge Rd Sparta NC 28675-8106 | |
| (336) 372-4300 | |
| (336) 372-4344 | 
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 711 Andrews Ridge Rd, Sparta, North Carolina | 
| Authorized Official Name and Position | Richard P. Edwards (VICE PRESIDENT) | 
| Authorized Official Contact | 9197838898 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 711 Andrews Ridge Rd Sparta NC 28675-8106 Ph: (336) 372-4300 | 
| NPI Number | 1669758330 | 
|---|---|
| Provider Enumeration Date | 10/26/2011 | 
| Last Update Date | 10/26/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669758330 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
| Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis St, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 | |
| New River Service Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
| Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28640 Phone: 336-372-4095 | |
| Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 N Main St, Sparta, NC 28675 Phone: 336-372-6083 | |
| Itherapyrx Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Atwood St, Sparta, NC 28675 Phone: 828-964-8790 | |
| Lawson Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Willis Street, Sparta, NC 28675 Phone: 336-372-6083 Fax: 336-372-6087 |