| Mebane Behavioral Health, Pc | |
|
105 E Center St Suite B-3 Mebane NC 27302-2420 | |
| (919) 563-2140 | |
| (919) 563-2188 |
| Full Name | Mebane Behavioral Health, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 105 E Center St, Mebane, North Carolina |
| Authorized Official Name and Position | Charles K. Burnett (PRESIDENT) |
| Authorized Official Contact | 9195632140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mebane Behavioral Health, Pc 105 E Center St Suite B-3 Mebane NC 27302-2420 Ph: (919) 563-2140 | Mebane Behavioral Health, Pc 105 E Center St Suite B-3 Mebane NC 27302-2420 Ph: (919) 563-2140 |
| NPI Number | 1487977021 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Medicare PECOS PAC ID | 8426185968 |
|---|---|
| Medicare Enrollment ID | O20100415000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487977021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2046 (North Carolina) | Primary |
| Provider Name | Charles K Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295749745 PECOS PAC ID: 5698839181 Enrollment ID: I20100415000065 |
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