| The Hope Well America, Llc. | |
|
402 N. Main Street Creedmoor NC 27522 | |
| (919) 590-0426 | |
| Not Available |
| Full Name | The Hope Well America, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 402 N. Main Street, Creedmoor, North Carolina |
| Authorized Official Name and Position | Carynne Donee Williams (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3369185748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hope Well America, Llc. Po Box 13045 Durham NC 27709-3045 Ph: () - | The Hope Well America, Llc. 402 N. Main Street Creedmoor NC 27522 Ph: (919) 590-0426 |
| NPI Number | 1093353799 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 9830513282 |
|---|---|
| Medicare Enrollment ID | O20200720000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093353799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carynne Donee Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639442205 PECOS PAC ID: 8426202474 Enrollment ID: I20130129000422 |
Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
Innovative Behavioral Health Services P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Main St, Creedmoor, NC 27522 Phone: 919-529-2474 | |
Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
Alliance Center 2 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1556 Nc Hwy 56, B-104, Creedmoor, NC 27422 Phone: 252-252-1381 Fax: 252-598-0051 |