| Edgecombe-nash Mental Health Clinic Beacon Center | |
|
500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 | |
| (252) 937-8141 | |
| (252) 443-9574 |
| Full Name | Edgecombe-nash Mental Health Clinic Beacon Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 500 Nash Medical Arts Mall, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Nancy Rackley (FINANCE OFFICER) |
| Authorized Official Contact | 2529378141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgecombe-nash Mental Health Clinic Beacon Center 500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 Ph: (252) 937-8141 | Edgecombe-nash Mental Health Clinic Beacon Center 500 Nash Medical Arts Mall Rocky Mount NC 27804-1417 Ph: (252) 937-8141 |
| NPI Number | 1740388347 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740388347 | NPI | - | NPPES |
| 8301065 | Medicaid | NC | |
| 3404937E | Other | NC | ENDORSED PROVIDER NUMBER |
| 8301065G | Medicaid | NC | |
| 3404937 | Other | NC | BASE PROVIDER NUMBER |
| 5901411 | Medicaid | NC | |
| 0182 | Other | NC | MEDICARE GROUP NUMBER |
| 3408170 | Medicaid | NC | |
| 6005570 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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