| Psychotherapeutic Services, Inc | |
| 1990 Allen Rd Ste F Greenville NC 27834-0058 | |
| (252) 756-1005 | |
| (252) 756-1085 | 
| Full Name | Psychotherapeutic Services, Inc | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 1990 Allen Rd Ste F, Greenville, North Carolina | 
| Authorized Official Name and Position | Randall Cooper (CFO) | 
| Authorized Official Contact | 4107789114 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Psychotherapeutic Services, Inc Po Box 690 Chestertown MD 21620-0690 Ph: (410) 778-9114 | Psychotherapeutic Services, Inc 1990 Allen Rd Ste F Greenville NC 27834-0058 Ph: (252) 756-1005 | 
| NPI Number | 1326181124 | 
|---|---|
| Provider Enumeration Date | 02/14/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326181124 | NPI | - | NPPES | 
| 8301181 | Medicaid | NC | |
| 8301181H | Other | NC | INTENSIVE IN HOME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary | 
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