| Mental Health Associates Of The Triad | |
|
910 Mill Ave High Point NC 27260-1628 | |
| (336) 822-2827 | |
| (336) 883-4015 |
| Full Name | Mental Health Associates Of The Triad |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 910 Mill Ave, High Point, North Carolina |
| Authorized Official Name and Position | Mary D Davis (INTAKE COORDINATOR) |
| Authorized Official Contact | 3368222827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Associates Of The Triad Po Box 5693 High Point NC 27262-5693 Ph: (336) 822-2827 | Mental Health Associates Of The Triad 910 Mill Ave High Point NC 27260-1628 Ph: (336) 822-2827 |
| NPI Number | 1013032416 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 1759805187 |
|---|---|
| Medicare Enrollment ID | O20250408000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013032416 | NPI | - | NPPES |
| 8300749S | Medicaid | NC | |
| 8300749 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Justina Anulika Okonkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194228205 PECOS PAC ID: 5597018549 Enrollment ID: I20181022002311 |
| Provider Name | Natalie Denise Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235441130 PECOS PAC ID: 5395269724 Enrollment ID: I20250408001389 |
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