| Mind Of Hope Community Living Program, Inc | |
|
7190 Nc Highway 11 Willard NC 28478-7062 | |
| (910) 441-7080 | |
| (910) 552-5006 |
| Full Name | Mind Of Hope Community Living Program, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7190 Nc Highway 11, Willard, North Carolina |
| Authorized Official Name and Position | Melvin R Thomas (PRESIDENT & CEO) |
| Authorized Official Contact | 9104417080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Of Hope Community Living Program, Inc Po Box 211 Willard NC 28478-0211 Ph: (910) 441-7080 | Mind Of Hope Community Living Program, Inc 7190 Nc Highway 11 Willard NC 28478-7062 Ph: (910) 441-7080 |
| NPI Number | 1306141718 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306141718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2926 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 2926 (North Carolina) | Primary |
Christian's House Of Hope, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10608 Willard Road, Willard, NC 28478 Phone: 910-532-2038 Fax: 910-532-2280 | |
Mind Of Hope Psychology Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7190 Nc Hwy 11, Willard, NC 28478 Phone: 910-441-7080 Fax: 910-441-7080 |