| Southern Professional Counseling Services, Llc | |
|
306 West Broad St. Elizabethtown NC 28337-1894 | |
| (910) 862-4151 | |
| (910) 862-3470 |
| Full Name | Southern Professional Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 West Broad St., Elizabethtown, North Carolina |
| Authorized Official Name and Position | Jeffrey B Campbell (CO-OWNER) |
| Authorized Official Contact | 9108624151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Professional Counseling Services, Llc Po Box 1894 Elizabethtown NC 28337-1894 Ph: (910) 862-4151 | Southern Professional Counseling Services, Llc 306 West Broad St. Elizabethtown NC 28337-1894 Ph: (910) 862-4151 |
| NPI Number | 1881623973 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 09/10/2008 |
| Medicare PECOS PAC ID | 9335216944 |
|---|---|
| Medicare Enrollment ID | O20080924000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881623973 | NPI | - | NPPES |
| 6005118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jeffrey B Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720068893 PECOS PAC ID: 3870660491 Enrollment ID: I20100805000332 |
| Provider Name | Alice Janine Britt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730293523 PECOS PAC ID: 8325269293 Enrollment ID: I20141016002825 |
Carter Clinic, P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 W Broad St, Elizabethtown, NC 28337 Phone: 919-848-0132 | |
Omni Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337 Phone: 910-247-6822 Fax: 910-247-6829 | |
Koship Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Twisted Hickory Rd, Elizabethtown, NC 28337 Phone: 843-998-1223 | |
Modern Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107f W Broad St, Elizabethtown, NC 28337 Phone: 910-862-4009 Fax: 910-862-6004 | |
Direccare Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 West Broad St., Elizabethtown, NC 28337 Phone: 910-872-0013 Fax: 910-872-0019 | |
Primary Health Choice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2950 W Broad St, Elizabethtown, NC 28337 Phone: 910-862-3040 | |
Community Innovations, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Peanut Plant Rd, Elizabethtown, NC 28337 Phone: 910-862-8363 Fax: 910-862-8767 |