| Heal On Wheels Of Nc, Pllc | |
| 76 Louise St Gates NC 27937-9834 | |
| (252) 370-5222 | |
| Not Available | 
| Full Name | Heal On Wheels Of Nc, Pllc | 
|---|---|
| Speciality | Clinic/center - Adult Mental Health | 
| Location | 76 Louise St, Gates, North Carolina | 
| Authorized Official Name and Position | Rondeshya K Cosby (OWNER) | 
| Authorized Official Contact | 2523705222 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heal On Wheels Of Nc, Pllc Po Box 2977 Elizabeth City NC 27906-2977 Ph: (252) 370-5222 | Heal On Wheels Of Nc, Pllc 76 Louise St Gates NC 27937-9834 Ph: (252) 370-5222 | 
| NPI Number | 1316676380 | 
|---|---|
| Provider Enumeration Date | 06/06/2022 | 
| Last Update Date | 06/20/2022 | 
| Certification Date | 06/20/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316676380 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary | 
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |