| Lyb Co Llc | |
|
5771 Moncure Pittsboro Rd Moncure NC 27559-9598 | |
| (336) 708-9294 | |
| Not Available |
| Full Name | Lyb Co Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5771 Moncure Pittsboro Rd, Moncure, North Carolina |
| Authorized Official Name and Position | Crystal Gisele Josey Davis (OWNER) |
| Authorized Official Contact | 3367089294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyb Co Llc 3912 Battleground Ave Ste 112-263 Greensboro NC 27410-8575 Ph: (336) 708-9294 | Lyb Co Llc 5771 Moncure Pittsboro Rd Moncure NC 27559-9598 Ph: (336) 708-9294 |
| NPI Number | 1790591006 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 01/15/2026 |
| Certification Date | 01/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790591006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Secondary |
Stable Soul Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Golden Oak Way, Moncure, NC 27559 Phone: 803-767-5145 |