| Integrative Psychiatric Care Pllc | |
|
2800 Saint Leo St Greensboro NC 27405-3382 | |
| (336) 676-4060 | |
| (336) 676-5017 |
| Full Name | Integrative Psychiatric Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2800 Saint Leo St, Greensboro, North Carolina |
| Authorized Official Name and Position | Samantha Edeh (CLINICAL ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 3366764060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychiatric Care Pllc 2800 Saint Leo St Greensboro NC 27405-3382 Ph: (336) 676-4060 | Integrative Psychiatric Care Pllc 2800 Saint Leo St Greensboro NC 27405-3382 Ph: (336) 676-4060 |
| NPI Number | 1699381269 |
|---|---|
| Provider Enumeration Date | 09/19/2020 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 9931502457 |
|---|---|
| Medicare Enrollment ID | O20210721002876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699381269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Onoriode Edeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932545167 PECOS PAC ID: 9537466131 Enrollment ID: I20210312001827 |
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