| Mental Health Specialty Group Pa | |
|
110 N Corcoran St Fl 5 Durham NC 27701-5015 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Mental Health Specialty Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 N Corcoran St Fl 5, Durham, North Carolina |
| Authorized Official Name and Position | Josh Bruno (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialty Group Pa Po Box 746878 Atlanta GA 30374-6878 Ph: (323) 205-7088 | Mental Health Specialty Group Pa 110 N Corcoran St Fl 5 Durham NC 27701-5015 Ph: (323) 205-7088 |
| NPI Number | 1801472634 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8921466228 |
|---|---|
| Medicare Enrollment ID | O20230619001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801472634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Paveglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548838600 PECOS PAC ID: 4688067887 Enrollment ID: I20220211000269 |
| Provider Name | Chanda R Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376307348 PECOS PAC ID: 1254865686 Enrollment ID: I20241107003607 |
| Provider Name | Clarissa Alexandra Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437696762 PECOS PAC ID: 3375072770 Enrollment ID: I20250130001605 |
| Provider Name | Laura Tennille Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427702299 PECOS PAC ID: 8224567458 Enrollment ID: I20250131003433 |
| Provider Name | Kesha Y Greene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972015394 PECOS PAC ID: 2365971504 Enrollment ID: I20250201000144 |
| Provider Name | Sandra Martinaitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174196760 PECOS PAC ID: 2668902834 Enrollment ID: I20250204001924 |
| Provider Name | Jocelyn Claire Evans-shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710529250 PECOS PAC ID: 4587194675 Enrollment ID: I20250204003202 |
| Provider Name | Carol Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053998666 PECOS PAC ID: 1951831924 Enrollment ID: I20250205002832 |
| Provider Name | Armeshae Menae Ugbome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596341 PECOS PAC ID: 9739507021 Enrollment ID: I20250206000611 |
| Provider Name | Patricia Ann Calloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558484824 PECOS PAC ID: 0042740078 Enrollment ID: I20250206000818 |
| Provider Name | Susan Alice Ristau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881853026 PECOS PAC ID: 1456881150 Enrollment ID: I20250211001572 |
| Provider Name | Adrian Simone Gaither |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750854709 PECOS PAC ID: 2860922200 Enrollment ID: I20250213003466 |
| Provider Name | Deeann Unsworth Clarington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508683947 PECOS PAC ID: 9335679729 Enrollment ID: I20250214001113 |
| Provider Name | Sharika D Gardner Spates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912656885 PECOS PAC ID: 6406386804 Enrollment ID: I20250214001711 |
| Provider Name | Sheila Kendrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720626120 PECOS PAC ID: 6901336213 Enrollment ID: I20250214002394 |
| Provider Name | Janet Elaine Pace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295129963 PECOS PAC ID: 4385174671 Enrollment ID: I20250217001684 |
| Provider Name | Bathsheba C Cherry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407107543 PECOS PAC ID: 4284154576 Enrollment ID: I20250217002145 |
| Provider Name | Danisha Denise Debise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538984976 PECOS PAC ID: 7012437361 Enrollment ID: I20250218000758 |
| Provider Name | Latricia Vernita Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104641851 PECOS PAC ID: 6709306061 Enrollment ID: I20250218001216 |
| Provider Name | Darryl G Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144562877 PECOS PAC ID: 3274053434 Enrollment ID: I20250219001195 |
| Provider Name | Beth A Smaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790973238 PECOS PAC ID: 6305366725 Enrollment ID: I20250227003631 |
| Provider Name | Melissa D Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093539439 PECOS PAC ID: 1759802192 Enrollment ID: I20250303000397 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Infants, Children, Adults, Adolescents/juveniles, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Roxboro St, Durham, NC 27704 Phone: 919-201-0052 |