| New Dimension Group, Llc | |
|
416 West Ridge Street Rose Hill NC 28458-7412 | |
| (910) 233-2813 | |
| (910) 350-1330 |
| Full Name | New Dimension Group, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 416 West Ridge Street, Rose Hill, North Carolina |
| Authorized Official Name and Position | Constance Olatidoye (OWNER) |
| Authorized Official Contact | 9102332813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dimension Group, Llc Po Box 880 Rose Hill NC 28458-0880 Ph: () - | New Dimension Group, Llc 416 West Ridge Street Rose Hill NC 28458-7412 Ph: (910) 233-2813 |
| NPI Number | 1912032475 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547337123 |
|---|---|
| Medicare Enrollment ID | O20080923000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912032475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Constance Olatidoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346300332 PECOS PAC ID: 3375610959 Enrollment ID: I20080923000789 |
| Provider Name | Tanya F Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619343803 PECOS PAC ID: 1052629151 Enrollment ID: I20190326000831 |
| Provider Name | Jennifer L Danks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336756899 PECOS PAC ID: 7517387319 Enrollment ID: I20201016000818 |
| Provider Name | Crystal B Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427560747 PECOS PAC ID: 7911357850 Enrollment ID: I20231219001404 |
| Provider Name | Sixta T Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538524335 PECOS PAC ID: 7517409071 Enrollment ID: I20240612000858 |
| Provider Name | Douglas E Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447571260 PECOS PAC ID: 2961944343 Enrollment ID: I20240613000776 |
| Provider Name | Alexandria R Blymire |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881091007 PECOS PAC ID: 5193268290 Enrollment ID: I20240618000404 |
| Provider Name | Queenetta Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235914912 PECOS PAC ID: 4789104829 Enrollment ID: I20250220000261 |
Visions Of Hope Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 N Sycamore St, Rose Hill, NC 28458 Phone: 910-282-0694 | |
New Dimension Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 West Ridge St., Rose Hill, NC 28458 Phone: 910-289-2610 Fax: 910-289-4410 | |
New Dimension Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 West Ridge Street, Rose Hill, NC 28458 Phone: 910-289-2610 |