| Your Story Rewritten, Llc | |
|
1241 N Road St Elizabeth City NC 27909-3335 | |
| (252) 368-9124 | |
| Not Available |
| Full Name | Your Story Rewritten, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1241 N Road St, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Cerissa Carroll Payment Rhodes (OWENER) |
| Authorized Official Contact | 8083750074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Story Rewritten, Llc 1241 N Road St Elizabeth City NC 27909-3335 Ph: () - | Your Story Rewritten, Llc 1241 N Road St Elizabeth City NC 27909-3335 Ph: (252) 368-9124 |
| NPI Number | 1427748276 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 9133587942 |
|---|---|
| Medicare Enrollment ID | O20230626002263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427748276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cerissa Carroll Payment Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851532170 PECOS PAC ID: 4688914724 Enrollment ID: I20190530001727 |
Albemarle Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E Main Street, Elizabeth City, NC 27909 Phone: 252-335-0803 | |
American Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 E Elizabeth St, Elizabeth City, NC 27909 Phone: 252-384-0211 Fax: 252-384-0311 | |
H.e.a.l. Helping Everyone Achieve Life Skills Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Road St Ste D1, Elizabeth City, NC 27909 Phone: 252-333-8445 Fax: 252-404-9136 | |
Albemarle Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Parkview Drive, Elizabeth City, NC 27909 Phone: 252-335-9964 | |
Family Advantage, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Main St, Suite E., Elizabeth City, NC 27909 Phone: 252-326-0090 Fax: 252-536-2322 | |
Princeton Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Halstead Blvd, Elizabeth City, NC 27909 Phone: 252-340-1530 | |
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