| 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 |
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