| 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 |