Ethos Services Llc | |
106 W Dallas Rd Stanley NC 28164-2103 | |
(980) 416-3025 | |
Not Available |
Full Name | Ethos Services Llc |
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Speciality | Community/behavioral Health |
Location | 106 W Dallas Rd, Stanley, North Carolina |
Authorized Official Name and Position | Benny Locklear (CEO) |
Authorized Official Contact | 9109640678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ethos Services Llc 106 W Dallas Rd Stanley NC 28164-2103 Ph: (980) 416-3025 | Ethos Services Llc 106 W Dallas Rd Stanley NC 28164-2103 Ph: (980) 416-3025 |
NPI Number | 1639806359 |
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Provider Enumeration Date | 08/03/2022 |
Last Update Date | 10/08/2023 |
Certification Date | 10/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639806359 | NPI | - | NPPES |
1467162065 | Medicaid | NC | |
1639806359 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Comprehensive Counseling, Coaching & Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Franklin Ct, Stanley, NC 28164 Phone: 704-915-2777 |