| Psychotherapeutic Services | |
| 2260 S Church St Suite 304 Burlinton NC 21215 | |
| (336) 513-4229 | |
| (336) 513-4228 | 
| Full Name | Psychotherapeutic Services | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 2260 S Church St, Burlinton, North Carolina | 
| Authorized Official Name and Position | Marcia Lynn Clendaniel (BILLING MANAGER) | 
| Authorized Official Contact | 4108102465 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Psychotherapeutic Services 2260 S. Church St Suite 304 Burlington NC 21215 Ph: (410) 778-9114 | Psychotherapeutic Services 2260 S Church St Suite 304 Burlinton NC 21215 Ph: (336) 513-4229 | 
| NPI Number | 1710020516 | 
|---|---|
| Provider Enumeration Date | 02/14/2007 | 
| Last Update Date | 10/18/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710020516 | NPI | - | NPPES | 
| 8300589 | Medicaid | NC | |
| 8300589H | Other | NC | INTENSIVE IN HOME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |