| Equafinality B | |
|
201 Tyson St Greenville NC 27834-1847 | |
| (252) 864-9334 | |
| Not Available |
| Full Name | Equafinality B |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 201 Tyson St, Greenville, North Carolina |
| Authorized Official Name and Position | Keirstin Cotto (CEO) |
| Authorized Official Contact | 2529724357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equafinality B Po Box 1195 Bethel NC 27812-1195 Ph: (252) 864-9334 | Equafinality B 201 Tyson St Greenville NC 27834-1847 Ph: (252) 864-9334 |
| NPI Number | 1639772502 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8921446402 |
|---|---|
| Medicare Enrollment ID | O20240403000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639772502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Keirstin R Cotto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215449012 PECOS PAC ID: 3375981863 Enrollment ID: I20240417002873 |
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