| Waterside Therapy Associates, P.l.l.c. | |
|
110 Baltimore St Williamston NC 27892-2462 | |
| (252) 944-6076 | |
| (252) 923-0111 |
| Full Name | Waterside Therapy Associates, P.l.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Baltimore St, Williamston, North Carolina |
| Authorized Official Name and Position | Rita Carol Boyette (CO-OWNER) |
| Authorized Official Contact | 2529446076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterside Therapy Associates, P.l.l.c. 110 Baltimore St Williamston NC 27892-2462 Ph: (252) 944-6076 | Waterside Therapy Associates, P.l.l.c. 110 Baltimore St Williamston NC 27892-2462 Ph: (252) 944-6076 |
| NPI Number | 1528091972 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528091972 | NPI | - | NPPES |
| 10894 | Other | NC | BCBS |
| 6003548 | Medicaid | NC | |
| 6102939 | Medicaid | NC | |
| 24392-2143 | Other | NC | TRICARE |
| 235086 | Other | NC | MHN |
| 14144 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5036 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C002961 (North Carolina) | Primary |
Akeem Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 West Blvd, Williamston, NC 27892 Phone: 252-799-0600 Fax: 252-799-3184 | |
Samaritans Network, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 N Martin Luther King Jr Dr, Williamston, NC 27892 Phone: 252-799-0300 Fax: 252-799-0314 | |
Divine Interventions Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Williamston, NC 27892 Phone: 252-325-6322 | |
Positive Community Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Nai Rad Ln, Williamston, NC 27892 Phone: 252-217-2031 | |
Dream Provider Care Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Godwin Dr, Williamston, NC 27892 Phone: 252-809-1010 | |
Elite Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Washington St # B, Williamston, NC 27892 Phone: 252-792-7812 Fax: 252-792-7812 | |
Straight Walk Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Pearl St, Williamston, NC 27892 Phone: 919-673-8240 |