| Support Incorporated | |
|
708 S Chestnut St Gastonia NC 28054-4548 | |
| (704) 865-3525 | |
| (704) 865-3520 |
| Full Name | Support Incorporated |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 708 S Chestnut St, Gastonia, North Carolina |
| Authorized Official Name and Position | Josh Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048653529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Incorporated Po Box 4003 Gastonia NC 28054-0041 Ph: (704) 865-3525 | Support Incorporated 708 S Chestnut St Gastonia NC 28054-4548 Ph: (704) 865-3525 |
| NPI Number | 1780974253 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 12/30/2015 |
| Medicare PECOS PAC ID | 5991738106 |
|---|---|
| Medicare Enrollment ID | O20050916000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780974253 | NPI | - | NPPES |
| 8303341 | Medicaid | NC | |
| 5918314 | Medicaid | NC | |
| 016V4 | Other | NC | BCBS |
| 6005063 | Medicaid | NC |
| Provider Name | Karen Lynn Melendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184675977 PECOS PAC ID: 8022170711 Enrollment ID: I20081213000228 |
| Provider Name | Montesha S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336693159 PECOS PAC ID: 8527347509 Enrollment ID: I20161115000950 |
| Provider Name | Jessica M Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881148039 PECOS PAC ID: 9436553393 Enrollment ID: I20210813003224 |
| Provider Name | Samantha Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699269977 PECOS PAC ID: 8729483904 Enrollment ID: I20210826000824 |
| Provider Name | Stephanie Nicole Hilderbran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164011359 PECOS PAC ID: 6901203520 Enrollment ID: I20210924001471 |
Genuine Counseling Services Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 S York St, Gastonia, NC 28052 Phone: 704-674-7290 | |
Willow Counseling And Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3434 S New Hope Rd, Gastonia, NC 28056 Phone: 980-292-2481 | |
Institute For Family Centered Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-864-6573 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Clyde St, Gastonia, NC 28052 Phone: 704-986-1500 Fax: 704-982-5279 | |
Recovery Balance, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 E Franklin Blvd, Gastonia, NC 28054 Phone: 704-307-0608 | |
Elite Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1558 Union Rd, Suite D, Gastonia, NC 28054 Phone: 704-864-9668 Fax: 704-864-1788 | |
Therapeutic Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 W Franklin Blvd, Gastonia, NC 28052 Phone: 704-865-3529 Fax: 704-865-3010 |