| Easter Seals Ucp North Carolina & Virginia, Inc. | |
| 1076 Nc Highway 86 N Yanceyville NC 27379-8645 | |
| (336) 694-1487 | |
| (336) 694-1681 | 
| Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 1076 Nc Highway 86 N, Yanceyville, North Carolina | 
| Authorized Official Name and Position | Nasheba Key-allred (CONTRACT SPECIALIST) | 
| 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 211 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 1076 Nc Highway 86 N Yanceyville NC 27379-8645 Ph: (336) 694-1487 | 
| NPI Number | 1437367174 | 
|---|---|
| Provider Enumeration Date | 05/18/2007 | 
| Last Update Date | 04/24/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437367174 | NPI | - | NPPES | 
| 018KJ | Other | NC | BCBS | 
| 8301522 | Medicaid | NC | |
| 8301522A | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
| Ariel Community Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E. Church St, Yanceyville, NC 27379 Phone: 336-694-4147 | |
| Piedmont Triad Regional Council Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 649 Firetower Road, Yanceyville, NC 27379 Phone: 336-694-7447 | |
| Solutions Community Support Agency, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St, Yanceyville, NC 27379 Phone: 336-436-0074 | |
| Trinity Behavioral Healthcare Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 Us Highway 158 W, Yanceyville, NC 27379 Phone: 336-570-0104 | |
| Operation Boot Straps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 E Main St, Yanceyville, NC 27379 Phone: 336-437-3282 | |
| Alpha-g Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St Ste 417, Yanceyville, NC 27379 Phone: 336-420-4992 | |
| Easter Seals Ucp Asap Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St, Yanceyville, NC 27379 Phone: 336-694-4333 Fax: 336-694-7325 |