| New Directions Treatment Center | |
|
2990 Bethesda Pl Suite 602-b Winston Salem NC 27103-3318 | |
| (336) 768-8281 | |
| (336) 768-5685 |
| Full Name | New Directions Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2990 Bethesda Pl, Winston Salem, North Carolina |
| Authorized Official Name and Position | Alan Richard Cook (PRACTICE MANAGER) |
| Authorized Official Contact | 3367688281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Treatment Center 2990 Bethesda Pl Suite 602-b Winston Salem NC 27103-3318 Ph: (336) 768-8281 | New Directions Treatment Center 2990 Bethesda Pl Suite 602-b Winston Salem NC 27103-3318 Ph: (336) 768-8281 |
| NPI Number | 1366534869 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 01/04/2012 |
| Medicare PECOS PAC ID | 9133149131 |
|---|---|
| Medicare Enrollment ID | O20051206000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366534869 | NPI | - | NPPES |
| 890266C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary L Hebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376689315 PECOS PAC ID: 6709961832 Enrollment ID: I20080312000712 |
| Provider Name | Christine G Childs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952339236 PECOS PAC ID: 8527092113 Enrollment ID: I20080422000304 |
| Provider Name | Alan R Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558453084 PECOS PAC ID: 3678593670 Enrollment ID: I20120229000387 |
| Provider Name | Teven A Harmon-townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356637714 PECOS PAC ID: 5890950422 Enrollment ID: I20120706000004 |
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