| Paradise Landing 1 | |
|
1533 Briggs Rd Henderson NC 27537-3898 | |
| (252) 572-4262 | |
| Not Available |
| Full Name | Paradise Landing 1 |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1533 Briggs Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Deidre Taborn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2525724262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Landing 1 1533 Briggs Rd Henderson NC 27537-3898 Ph: () - | Paradise Landing 1 1533 Briggs Rd Henderson NC 27537-3898 Ph: (252) 572-4262 |
| NPI Number | 1588140040 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588140040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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The Clinical Evaluation And Resource Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 943 W Andrews Ave Ste P, Henderson, NC 27536 Phone: 252-430-1255 | |
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