| G & C Behavioral Services Pllc | |
|
8504 Six Forks Rd Ste 204 Raleigh NC 27615-3265 | |
| (252) 629-4291 | |
| Not Available |
| Full Name | G & C Behavioral Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8504 Six Forks Rd Ste 204, Raleigh, North Carolina |
| Authorized Official Name and Position | Diana Campbell (ORGANIZER) |
| Authorized Official Contact | 2035285447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G & C Behavioral Services Pllc 8504 Six Forks Rd Ste 204 Raleigh NC 27615-3265 Ph: (252) 629-4291 | G & C Behavioral Services Pllc 8504 Six Forks Rd Ste 204 Raleigh NC 27615-3265 Ph: (252) 629-4291 |
| NPI Number | 1205503471 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Medicare PECOS PAC ID | 0840689642 |
|---|---|
| Medicare Enrollment ID | O20211117000979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205503471 | NPI | - | NPPES |
| Provider Name | Diana E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992257232 PECOS PAC ID: 1658651906 Enrollment ID: I20180418000364 |
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