| Monarch | |
|
350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 | |
| (704) 986-1500 | |
| (704) 982-5279 |
| Full Name | Monarch |
|---|---|
| Type | Facility |
| Speciality | Community/behavioral Health |
| Location | 350 Pee Dee Ave, Albemarle, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801116405 | NPI | - | NPPES |
| Provider Name | Valerie Frances Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871602532 PECOS PAC ID: 7911806179 Enrollment ID: I20040107000229 |
| Provider Name | Vanessa Stanton Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205896925 PECOS PAC ID: 6507852225 Enrollment ID: I20040420001513 |
| Provider Name | Ramaswamy R Sriraman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134230857 PECOS PAC ID: 2062400302 Enrollment ID: I20040504001584 |
| Provider Name | Sharyn Comeau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548293723 PECOS PAC ID: 8820064512 Enrollment ID: I20040903000372 |
| Provider Name | Douglas G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023169950 PECOS PAC ID: 2567439870 Enrollment ID: I20040915001052 |
| Provider Name | Chin-ho T Pak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386721470 PECOS PAC ID: 5991774150 Enrollment ID: I20040925000155 |
| Provider Name | Amy R Pharr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275537037 PECOS PAC ID: 9537129036 Enrollment ID: I20041018001062 |
| Provider Name | Devendra C Shah |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164418125 PECOS PAC ID: 7517921646 Enrollment ID: I20041117000930 |
| Provider Name | Surya K Challa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730162819 PECOS PAC ID: 6901854314 Enrollment ID: I20050115000103 |
| Provider Name | Jonathan Keith Stoudmire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710959788 PECOS PAC ID: 2567432933 Enrollment ID: I20050715000235 |
| Provider Name | Praful C Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376660530 PECOS PAC ID: 2163450438 Enrollment ID: I20050728000240 |
| Provider Name | Malti Praful Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265659965 PECOS PAC ID: 8628006970 Enrollment ID: I20050728000997 |
| Provider Name | Swati S Dakoriya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417012618 PECOS PAC ID: 2567496318 Enrollment ID: I20050921001037 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588655666 PECOS PAC ID: 2163436072 Enrollment ID: I20060131000316 |
| Provider Name | Alexia Sandra Maneschi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417000381 PECOS PAC ID: 6406865609 Enrollment ID: I20060417000632 |
| Provider Name | Carol W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154364578 PECOS PAC ID: 3274545199 Enrollment ID: I20060614000281 |
| Provider Name | Jane Angell Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336249846 PECOS PAC ID: 9537115241 Enrollment ID: I20070210000008 |
| Provider Name | William N Garrot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902813421 PECOS PAC ID: 7214032804 Enrollment ID: I20070410000157 |
| Provider Name | Jacqueline Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861528200 PECOS PAC ID: 3072612936 Enrollment ID: I20070619000380 |
| Provider Name | Leigh Riffe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467521054 PECOS PAC ID: 6901804970 Enrollment ID: I20070712000736 |
| Provider Name | Theodus Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154340768 PECOS PAC ID: 6608967203 Enrollment ID: I20070810000775 |
| Provider Name | Shelley J Everts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326253774 PECOS PAC ID: 2365534872 Enrollment ID: I20070828000551 |
| Provider Name | Nilima V Shukla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922189877 PECOS PAC ID: 2961505003 Enrollment ID: I20070906000770 |
| Provider Name | Sonya Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225215106 PECOS PAC ID: 4688757859 Enrollment ID: I20080211000698 |
| Provider Name | Leonard David Saltzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932155819 PECOS PAC ID: 9739264367 Enrollment ID: I20080306000674 |
| Provider Name | Shane Rau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811925803 PECOS PAC ID: 7113925512 Enrollment ID: I20080804000153 |
| Provider Name | Dena C Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669550505 PECOS PAC ID: 1355418989 Enrollment ID: I20080924000457 |
| Provider Name | Vivian Jill Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134111057 PECOS PAC ID: 0244390698 Enrollment ID: I20081115000151 |
| Provider Name | Mary E Froelich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487634192 PECOS PAC ID: 0749330611 Enrollment ID: I20090615000651 |
| Provider Name | Pamela Eve Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225081060 PECOS PAC ID: 6608927769 Enrollment ID: I20090630000645 |
| Provider Name | Iverson B Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891828224 PECOS PAC ID: 4183778780 Enrollment ID: I20090817000482 |
| Provider Name | Whitney J.d Bakken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275738890 PECOS PAC ID: 2860532223 Enrollment ID: I20091215000415 |
| Provider Name | Theresa H Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417049420 PECOS PAC ID: 2567507726 Enrollment ID: I20100226000882 |
| Provider Name | Timothy W Bradshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417271867 PECOS PAC ID: 5698803922 Enrollment ID: I20100507000058 |
| Provider Name | Kay Barnes Mcgovern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134179997 PECOS PAC ID: 2860521440 Enrollment ID: I20100519000602 |
| Provider Name | Kimberly Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356665822 PECOS PAC ID: 8628108834 Enrollment ID: I20100615000651 |
| Provider Name | John Edward Latz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013972025 PECOS PAC ID: 7719019637 Enrollment ID: I20100713000121 |
| Provider Name | Lauren N Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912203522 PECOS PAC ID: 1658551437 Enrollment ID: I20110210001047 |
| Provider Name | Frantz E Pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710168042 PECOS PAC ID: 4587844188 Enrollment ID: I20110215000405 |
| Provider Name | Robert James Mchale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841412053 PECOS PAC ID: 1850576877 Enrollment ID: I20110505000874 |
| Provider Name | Stephanie Ann Ehrlich Seitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487940219 PECOS PAC ID: 8628240397 Enrollment ID: I20111003000350 |
| Provider Name | Brenda Sue Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831372721 PECOS PAC ID: 8628238326 Enrollment ID: I20120404000011 |
| Provider Name | Justin D Ginsburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154693240 PECOS PAC ID: 2668633637 Enrollment ID: I20120418000611 |
| Provider Name | Analiza Liza Margarita Cisneros-howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215169453 PECOS PAC ID: 0042473068 Enrollment ID: I20120531000207 |
| Provider Name | Nathan Marcellous Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629207576 PECOS PAC ID: 3476717141 Enrollment ID: I20120608000103 |
| Provider Name | Alicia T Boldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396048534 PECOS PAC ID: 9931364205 Enrollment ID: I20120712000092 |
| Provider Name | Chalonda Michelle Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780933556 PECOS PAC ID: 8527205400 Enrollment ID: I20130514000000 |
| Provider Name | Meghan Blankmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205173911 PECOS PAC ID: 0749421493 Enrollment ID: I20130723000951 |
| Provider Name | Mary Anne Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040234 PECOS PAC ID: 9335382126 Enrollment ID: I20130827000029 |
| Provider Name | Shukairo Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20130829000692 |
| Provider Name | Autumn L Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457515843 PECOS PAC ID: 9335382936 Enrollment ID: I20130829000756 |
| Provider Name | Shaunak S Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172252 PECOS PAC ID: 1456594928 Enrollment ID: I20130830000765 |
| Provider Name | Susan Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093776320 PECOS PAC ID: 6305864299 Enrollment ID: I20130910000688 |
| Provider Name | Eric J Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154666576 PECOS PAC ID: 6002045804 Enrollment ID: I20140127000583 |
| Provider Name | Louvonda D Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558626549 PECOS PAC ID: 5991934523 Enrollment ID: I20140131000614 |
| Provider Name | Amber E Remington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228935 PECOS PAC ID: 3476784638 Enrollment ID: I20140401001414 |
| Provider Name | Karen S Holst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376676601 PECOS PAC ID: 4789807876 Enrollment ID: I20140516002044 |
| Provider Name | Anne C Herron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023234937 PECOS PAC ID: 9638396088 Enrollment ID: I20140808001631 |
| Provider Name | Jennifer Parker Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013245745 PECOS PAC ID: 0648497479 Enrollment ID: I20140818002778 |
| Provider Name | Karen S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538183447 PECOS PAC ID: 0547362238 Enrollment ID: I20140825002693 |
| Provider Name | Nora Mw Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841515079 PECOS PAC ID: 8527289412 Enrollment ID: I20141017000625 |
| Provider Name | Saeed Aflatooni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235224106 PECOS PAC ID: 4486540903 Enrollment ID: I20141204001531 |
| Provider Name | Quanita Q Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154660827 PECOS PAC ID: 0143543793 Enrollment ID: I20150106002265 |
| Provider Name | Alemu Mengistu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497150155 PECOS PAC ID: 1658695945 Enrollment ID: I20150114001997 |
| Provider Name | Katherine B Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720490899 PECOS PAC ID: 7911222526 Enrollment ID: I20150202000953 |
| Provider Name | Novlett S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326462524 PECOS PAC ID: 9436373396 Enrollment ID: I20150204002454 |
| Provider Name | Tracy N Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405024 PECOS PAC ID: 5890010706 Enrollment ID: I20150218000901 |
| Provider Name | Wanda R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710261888 PECOS PAC ID: 2466778105 Enrollment ID: I20150224000944 |
| Provider Name | Joanna Schechner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518357383 PECOS PAC ID: 0749596195 Enrollment ID: I20150831000877 |
| Provider Name | Peter B Godfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407232523 PECOS PAC ID: 6305146804 Enrollment ID: I20151207001433 |
| Provider Name | Ashley T Navey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104294230 PECOS PAC ID: 3274835012 Enrollment ID: I20160111001148 |
| Provider Name | Amy Smith Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023458767 PECOS PAC ID: 5193021343 Enrollment ID: I20160314002187 |
| Provider Name | Douglas R Eitel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275598989 PECOS PAC ID: 5991728933 Enrollment ID: I20160602000464 |
| Provider Name | Gayle C Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306172184 PECOS PAC ID: 1658594692 Enrollment ID: I20160727002954 |
| Provider Name | Tarek Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558620682 PECOS PAC ID: 7012236920 Enrollment ID: I20160805000359 |
| Provider Name | Fred Sk Amematsro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735825 PECOS PAC ID: 4789979352 Enrollment ID: I20160822000566 |
| Provider Name | Desiree Marie Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700561 PECOS PAC ID: 9032407093 Enrollment ID: I20161007000844 |
| Provider Name | Ikeena Obasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750649455 PECOS PAC ID: 9739337668 Enrollment ID: I20161019002170 |
| Provider Name | Michelle R Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295063790 PECOS PAC ID: 0042599235 Enrollment ID: I20161110001349 |
| Provider Name | Yu Wei Shan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339785 PECOS PAC ID: 2668752999 Enrollment ID: I20161202001624 |
| Provider Name | Carrie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239522 PECOS PAC ID: 6901194760 Enrollment ID: I20161212001228 |
| Provider Name | Corrine E Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205255767 PECOS PAC ID: 4486934007 Enrollment ID: I20161216001102 |
| Provider Name | Bamidele A Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417995978 PECOS PAC ID: 0547270365 Enrollment ID: I20170104001608 |
| Provider Name | Tremika R Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217208 PECOS PAC ID: 6507141876 Enrollment ID: I20170329000703 |
| Provider Name | Brandi Lynne Forbes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376074468 PECOS PAC ID: 1850668286 Enrollment ID: I20170606001651 |
| Provider Name | Amy Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941322 PECOS PAC ID: 3173832151 Enrollment ID: I20170724000047 |
| Provider Name | Sirajuddin Ismail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902822901 PECOS PAC ID: 2163329624 Enrollment ID: I20170809002964 |
| Provider Name | Carin E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649692203 PECOS PAC ID: 7911279500 Enrollment ID: I20170816002804 |
| Provider Name | Kimberly A Bio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629428461 PECOS PAC ID: 3577835529 Enrollment ID: I20170825000537 |
| Provider Name | Nicole F Habit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770004822 PECOS PAC ID: 6608140603 Enrollment ID: I20170914000829 |
| Provider Name | Jian Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083132120 PECOS PAC ID: 5294093993 Enrollment ID: I20180102001324 |
| Provider Name | Rejoice Mashangeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962914283 PECOS PAC ID: 2466710025 Enrollment ID: I20180103002096 |
| Provider Name | Richelle L Smallwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124408190 PECOS PAC ID: 2860751427 Enrollment ID: I20180108000008 |
| Provider Name | Patricia A Krikorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124302849 PECOS PAC ID: 5991066763 Enrollment ID: I20180220000592 |
| Provider Name | Jacqueline Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992124176 PECOS PAC ID: 3173749579 Enrollment ID: I20180306000785 |
| Provider Name | Brandi Lynn Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326416835 PECOS PAC ID: 5799047379 Enrollment ID: I20180319002050 |
| Provider Name | Erica B Bales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558742148 PECOS PAC ID: 8224393095 Enrollment ID: I20180525001712 |
| Provider Name | Christina Robertson Hussami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770965386 PECOS PAC ID: 2466717939 Enrollment ID: I20180604002094 |
| Provider Name | Jessica G Diket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699273391 PECOS PAC ID: 2860747680 Enrollment ID: I20180620000193 |
| Provider Name | Jose Pablo Bogantes Montero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659508000 PECOS PAC ID: 2264733229 Enrollment ID: I20180904002480 |
| Provider Name | Ama B Adusei |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245773498 PECOS PAC ID: 5294085452 Enrollment ID: I20180910000463 |
| Provider Name | Mary Katherine Carmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710475066 PECOS PAC ID: 4082965470 Enrollment ID: I20180925000340 |
| Provider Name | Shuantia Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740667195 PECOS PAC ID: 1658622923 Enrollment ID: I20180925004115 |
| Provider Name | Emily N Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275055584 PECOS PAC ID: 3678847829 Enrollment ID: I20181206001488 |
| Provider Name | Roseline O Nwadigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063921930 PECOS PAC ID: 3971847559 Enrollment ID: I20181210000109 |
| Provider Name | Charley Jo Cross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902380223 PECOS PAC ID: 4789928276 Enrollment ID: I20181211001202 |
| Provider Name | Maimouna N Diop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104396456 PECOS PAC ID: 2062750318 Enrollment ID: I20190211003091 |
| Provider Name | Stacey A Hostetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558766584 PECOS PAC ID: 6608148283 Enrollment ID: I20190411001670 |
| Provider Name | Ashley B Abernethy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730483561 PECOS PAC ID: 0941542773 Enrollment ID: I20190426002353 |
| Provider Name | Cheryl H Billings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316013642 PECOS PAC ID: 3971845629 Enrollment ID: I20190429000867 |
| Provider Name | Hazel T Fishel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659647709 PECOS PAC ID: 0345462420 Enrollment ID: I20190529002978 |
| Provider Name | Matthew R Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801108717 PECOS PAC ID: 9133452626 Enrollment ID: I20190617000679 |
| Provider Name | Janiqua M Obey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992234041 PECOS PAC ID: 0840526356 Enrollment ID: I20190722002119 |
| Provider Name | Kara Rochon Holden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285196980 PECOS PAC ID: 6204163348 Enrollment ID: I20190812002621 |
| Provider Name | Alexandra N Tuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578979472 PECOS PAC ID: 2961732920 Enrollment ID: I20190918001596 |
| Provider Name | Julianne M Abuzuaiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154877868 PECOS PAC ID: 4183958267 Enrollment ID: I20191001001809 |
| Provider Name | Adrienne M Sievert Rombach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962943845 PECOS PAC ID: 6406288042 Enrollment ID: I20191119003196 |
| Provider Name | Timothy B Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609351501 PECOS PAC ID: 5193159051 Enrollment ID: I20191231000391 |
| Provider Name | Shalon Evette Bobbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750593 PECOS PAC ID: 9739513649 Enrollment ID: I20200102000037 |
| Provider Name | Kenzie Delrae Elmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891109740 PECOS PAC ID: 1052747672 Enrollment ID: I20200130000784 |
| Provider Name | Sue E Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932507159 PECOS PAC ID: 2062848922 Enrollment ID: I20200212002567 |
| Provider Name | Rebecca Laura Mahmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780410 PECOS PAC ID: 5092142141 Enrollment ID: I20200302000665 |
| Provider Name | Latoya C James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821391038 PECOS PAC ID: 6507127446 Enrollment ID: I20200324001411 |
| Provider Name | Lindsay Marie Allotey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619501202 PECOS PAC ID: 0749618825 Enrollment ID: I20200324001891 |
| Provider Name | Chalyce Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912031519 PECOS PAC ID: 9133446594 Enrollment ID: I20200326000379 |
| Provider Name | Richard Y Agyekum Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419835 PECOS PAC ID: 0143650911 Enrollment ID: I20200417002191 |
| Provider Name | James R Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831612829 PECOS PAC ID: 6901237494 Enrollment ID: I20200518001571 |
| Provider Name | Leesha Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750634416 PECOS PAC ID: 8022439470 Enrollment ID: I20200610002947 |
| Provider Name | Sirrell Lashawn Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922542778 PECOS PAC ID: 0143642579 Enrollment ID: I20200612000352 |
| Provider Name | Rashaun Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20200618000185 |
| Provider Name | Christine Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396390456 PECOS PAC ID: 3779907498 Enrollment ID: I20200728000469 |
| Provider Name | Cameron James Reaves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528692100 PECOS PAC ID: 9032536594 Enrollment ID: I20200828000799 |
| Provider Name | Lisette E Rivero Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992300594 PECOS PAC ID: 7012321920 Enrollment ID: I20210203002314 |
| Provider Name | Jean T Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558594101 PECOS PAC ID: 6800201690 Enrollment ID: I20210208001814 |
| Provider Name | Anna Marie Strackbein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457949828 PECOS PAC ID: 3971918509 Enrollment ID: I20210212001132 |
| Provider Name | Justine Am Mohre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457838732 PECOS PAC ID: 0042627945 Enrollment ID: I20210319001736 |
| Provider Name | Iasia S Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710389515 PECOS PAC ID: 2567879893 Enrollment ID: I20210401001526 |
| Provider Name | Melissa Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609074111 PECOS PAC ID: 9830507946 Enrollment ID: I20210408002788 |
| Provider Name | Natasha Jane Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790387447 PECOS PAC ID: 1557776721 Enrollment ID: I20210413001441 |
| Provider Name | Katie Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770921751 PECOS PAC ID: 9739421025 Enrollment ID: I20210428001961 |
| Provider Name | Denise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346820388 PECOS PAC ID: 0345659140 Enrollment ID: I20210507000407 |
| Provider Name | Durga Parajuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780128728 PECOS PAC ID: 1355626268 Enrollment ID: I20210521000667 |
| Provider Name | Melissa R Pridgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417521253 PECOS PAC ID: 6305240482 Enrollment ID: I20210811002974 |
| Provider Name | Harutyi M Muravu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144895251 PECOS PAC ID: 7911302781 Enrollment ID: I20210818000683 |
| Provider Name | Courtney Tierra Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770093452 PECOS PAC ID: 6901201607 Enrollment ID: I20210818002205 |
| Provider Name | Julia Harrelson Oesterle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972052579 PECOS PAC ID: 9032516182 Enrollment ID: I20210916001633 |
| Provider Name | Leslie Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111021 PECOS PAC ID: 5092112953 Enrollment ID: I20210921001326 |
| Provider Name | Joseph R Kivett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780257246 PECOS PAC ID: 5395142103 Enrollment ID: I20210921003301 |
| Provider Name | Leslie Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111021 PECOS PAC ID: 5092112953 Enrollment ID: I20210922003691 |
| Provider Name | Elizabeth Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427632710 PECOS PAC ID: 6406254796 Enrollment ID: I20211018002973 |
| Provider Name | Nakeyta S Goolsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114599214 PECOS PAC ID: 3971992116 Enrollment ID: I20211110000856 |
| Provider Name | Manasa Musunuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487929816 PECOS PAC ID: 7113147745 Enrollment ID: I20211206002466 |
| Provider Name | Mary Boger Denina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376211862 PECOS PAC ID: 7315338464 Enrollment ID: I20211227001354 |
| Provider Name | Alyssa Hunter Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528735925 PECOS PAC ID: 4688066434 Enrollment ID: I20220128000202 |
| Provider Name | Monica M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215512074 PECOS PAC ID: 0648662403 Enrollment ID: I20220128000336 |
| Provider Name | Melissa Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982372751 PECOS PAC ID: 3577956275 Enrollment ID: I20220201001990 |
| Provider Name | Tonia Locklear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437704467 PECOS PAC ID: 7113311531 Enrollment ID: I20220301002283 |
| Provider Name | Felecia Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225426067 PECOS PAC ID: 8224422365 Enrollment ID: I20220307000448 |
| Provider Name | Destiny Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801458450 PECOS PAC ID: 2567857543 Enrollment ID: I20220310001445 |
| Provider Name | Teererai Precious Mutyavairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902121312 PECOS PAC ID: 9032596390 Enrollment ID: I20220506002238 |
| Provider Name | Shannette M Ailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677210 PECOS PAC ID: 0042530958 Enrollment ID: I20220519002525 |
| Provider Name | Tyler N Edgerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851904999 PECOS PAC ID: 5092192609 Enrollment ID: I20220520001862 |
| Provider Name | Denis Kipkemoi Rono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740941 PECOS PAC ID: 5092141556 Enrollment ID: I20220708002952 |
| Provider Name | April B Ruckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487111001 PECOS PAC ID: 5193109577 Enrollment ID: I20220902001375 |
| Provider Name | John F Der Ghazarian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346749074 PECOS PAC ID: 8628453578 Enrollment ID: I20220914000851 |
| Provider Name | Chinyere E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366093270 PECOS PAC ID: 3274919212 Enrollment ID: I20220929000142 |
| Provider Name | Jonathan C Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982356812 PECOS PAC ID: 7618343823 Enrollment ID: I20221012003996 |
| Provider Name | Grace Ilex Thompson-byrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164151288 PECOS PAC ID: 9436525433 Enrollment ID: I20221017001036 |
| Provider Name | Carla E Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781859 PECOS PAC ID: 2769859941 Enrollment ID: I20221031002935 |
| Provider Name | Angela M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670160 PECOS PAC ID: 4486021664 Enrollment ID: I20221031003006 |
| Provider Name | Amy K Underwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386783918 PECOS PAC ID: 1759557705 Enrollment ID: I20221108000485 |
| Provider Name | Madina R Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376270793 PECOS PAC ID: 9436528601 Enrollment ID: I20221209001061 |
| Provider Name | Joann Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053630806 PECOS PAC ID: 5890966642 Enrollment ID: I20221209001664 |
| Provider Name | Jeleesha Nina Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336604289 PECOS PAC ID: 6901276435 Enrollment ID: I20221228000720 |
| Provider Name | Latoya Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326560798 PECOS PAC ID: 8123490927 Enrollment ID: I20230203001310 |
| Provider Name | Jacqueline E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740878578 PECOS PAC ID: 2961875547 Enrollment ID: I20230301001810 |
| Provider Name | Melissa M Curtiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053977140 PECOS PAC ID: 1759755135 Enrollment ID: I20230327000999 |
| Provider Name | Kashea D Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751561 PECOS PAC ID: 9739554973 Enrollment ID: I20230331001145 |
| Provider Name | Dorian M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124445796 PECOS PAC ID: 0547631335 Enrollment ID: I20230526001495 |
| Provider Name | Janelle Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184106502 PECOS PAC ID: 3779940465 Enrollment ID: I20230612002462 |
| Provider Name | Marla P Lepley-starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275227969 PECOS PAC ID: 2466815998 Enrollment ID: I20230830003132 |
| Provider Name | Terry J Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241048 PECOS PAC ID: 1052765757 Enrollment ID: I20230928004076 |
| Provider Name | Avis C Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679824569 PECOS PAC ID: 6002264157 Enrollment ID: I20231129002943 |
| Provider Name | Colin M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528127404 PECOS PAC ID: 2365890415 Enrollment ID: I20231129002966 |
| Provider Name | Amanda G Connelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013170885 PECOS PAC ID: 1153779202 Enrollment ID: I20231129003051 |
| Provider Name | Jaime Leigh Graf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982297420 PECOS PAC ID: 7416305453 Enrollment ID: I20231130002913 |
| Provider Name | Natasha S Hjorth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467850685 PECOS PAC ID: 0840649216 Enrollment ID: I20231211001419 |
| Provider Name | Marlon B Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740720663 PECOS PAC ID: 8022467406 Enrollment ID: I20231211001798 |
| Provider Name | Mary Locklear Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659643559 PECOS PAC ID: 5193174589 Enrollment ID: I20231211001890 |
| Provider Name | James Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366688780 PECOS PAC ID: 7618326976 Enrollment ID: I20231212001331 |
| Provider Name | Elizabeth Gainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831742410 PECOS PAC ID: 4183073455 Enrollment ID: I20231212001707 |
| Provider Name | Tashea R Cheeks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851771299 PECOS PAC ID: 5799134839 Enrollment ID: I20231214000460 |
| Provider Name | Tonya Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689144008 PECOS PAC ID: 5597114637 Enrollment ID: I20231214000542 |
| Provider Name | Jeffrey C Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598177248 PECOS PAC ID: 0547610990 Enrollment ID: I20231227000966 |
| Provider Name | Travis Edward Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336518554 PECOS PAC ID: 1456706308 Enrollment ID: I20231228003031 |
| Provider Name | Kimberly S Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063699437 PECOS PAC ID: 6103276191 Enrollment ID: I20240103003155 |
| Provider Name | Theresa G Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326248790 PECOS PAC ID: 9537510516 Enrollment ID: I20240104001762 |
| Provider Name | Rebecca D Mattingly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154675031 PECOS PAC ID: 9931550787 Enrollment ID: I20240105003466 |
| Provider Name | Amanda Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992581714 PECOS PAC ID: 3173975646 Enrollment ID: I20240119002937 |
| Provider Name | Sarita M Favers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851589956 PECOS PAC ID: 2961845540 Enrollment ID: I20240212000281 |
| Provider Name | Shevonna A. Jett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639657083 PECOS PAC ID: 7416391610 Enrollment ID: I20240215002268 |
| Provider Name | Alicia Ricketts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821312653 PECOS PAC ID: 3678912862 Enrollment ID: I20240422000180 |
| Provider Name | Festus O Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306500996 PECOS PAC ID: 4486096252 Enrollment ID: I20240524000489 |
| Provider Name | Brandy R Carlton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083254270 PECOS PAC ID: 0143662981 Enrollment ID: I20240524002695 |
| Provider Name | Caleb Marsdon Harding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023474418 PECOS PAC ID: 6204371594 Enrollment ID: I20240710005304 |
| Provider Name | Carmen Jezierski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124884614 PECOS PAC ID: 1153867759 Enrollment ID: I20240718004624 |
| Provider Name | Brooke D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083488225 PECOS PAC ID: 7517404130 Enrollment ID: I20240731004685 |
| Provider Name | Amanda K Chipman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396593836 PECOS PAC ID: 1759829260 Enrollment ID: I20240815001124 |
| Provider Name | Izmeica J Harrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467113902 PECOS PAC ID: 5496294787 Enrollment ID: I20240830000893 |
| Provider Name | John Swails |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578941837 PECOS PAC ID: 5092246652 Enrollment ID: I20241007002178 |
| Provider Name | Shengjue Yang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689325268 PECOS PAC ID: 9931632403 Enrollment ID: I20241023002123 |
| Provider Name | Nequeela N Deas-blanton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720331267 PECOS PAC ID: 2567995806 Enrollment ID: I20241025000543 |
| Provider Name | Gina Marie Hartmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669447678 PECOS PAC ID: 9638131733 Enrollment ID: I20241025000888 |
| Provider Name | Jada V Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548997257 PECOS PAC ID: 4385177286 Enrollment ID: I20241030004503 |
| Provider Name | Shelley Merck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528796638 PECOS PAC ID: 9739613167 Enrollment ID: I20241107003492 |
| Provider Name | Deanna S Rock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073182945 PECOS PAC ID: 4587198544 Enrollment ID: I20241113002136 |
| Provider Name | Sesaney S Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972971158 PECOS PAC ID: 3678008109 Enrollment ID: I20241121000249 |
| Provider Name | William G Galloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740786417 PECOS PAC ID: 6406381367 Enrollment ID: I20241202001562 |
| Provider Name | Clercifie Leneus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073186524 PECOS PAC ID: 6204362338 Enrollment ID: I20241212000027 |
| Provider Name | Steven K Morphew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194104174 PECOS PAC ID: 9830626068 Enrollment ID: I20241230000250 |
| Provider Name | Tracy A Flynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871825794 PECOS PAC ID: 1658808639 Enrollment ID: I20250103000263 |
| Provider Name | Julia Raye Husk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710683735 PECOS PAC ID: 7719415090 Enrollment ID: I20250114003670 |
| Provider Name | Anya Loraine Dobbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922583111 PECOS PAC ID: 1355871922 Enrollment ID: I20250212000267 |
| Provider Name | Cyesha M Baird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922720473 PECOS PAC ID: 0648791376 Enrollment ID: I20250310003272 |
| Provider Name | Nekita D Beach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376931899 PECOS PAC ID: 3274055934 Enrollment ID: I20250321003028 |
| Provider Name | Emily M Briskie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669278297 PECOS PAC ID: 7517489271 Enrollment ID: I20250321003122 |
| Provider Name | Shanice Monae Stephenson-walcott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043871924 PECOS PAC ID: 6305369315 Enrollment ID: I20250401000100 |
| Provider Name | James Eric Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366744203 PECOS PAC ID: 3971850504 Enrollment ID: I20250409002531 |
| Provider Name | Yvonne Handy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245634450 PECOS PAC ID: 8022534692 Enrollment ID: I20250428000354 |
| Provider Name | Diana C Ramsay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306362090 PECOS PAC ID: 4981120326 Enrollment ID: I20250429000419 |
| Provider Name | Kyria Mabiala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295433225 PECOS PAC ID: 8325564776 Enrollment ID: I20250429000803 |
| Provider Name | Tiffany Irene Howerton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932861499 PECOS PAC ID: 8224556212 Enrollment ID: I20250514000040 |
| Provider Name | Kellie L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700699550 PECOS PAC ID: 4587182431 Enrollment ID: I20250515000595 |
| Provider Name | Amber N Burch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235786864 PECOS PAC ID: 6204355274 Enrollment ID: I20250522001068 |
| Provider Name | Crystal H Neal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235856279 PECOS PAC ID: 6608388863 Enrollment ID: I20250624001036 |
| Provider Name | Susan K Wies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306217575 PECOS PAC ID: 6709399199 Enrollment ID: I20250630001316 |
| Provider Name | Lisa M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194433482 PECOS PAC ID: 4880108265 Enrollment ID: I20250708003391 |
| Provider Name | Heather M Goodson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659701159 PECOS PAC ID: 1355858507 Enrollment ID: I20250730004108 |
| Provider Name | Alexis Chanelle Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770203366 PECOS PAC ID: 1850809351 Enrollment ID: I20250805003222 |
| Provider Name | Katherine M Caputo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477283810 PECOS PAC ID: 0244730364 Enrollment ID: I20250823000308 |
| Provider Name | Jennifer J Lippel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528671781 PECOS PAC ID: 5890296263 Enrollment ID: I20250827005026 |
| Provider Name | Lakeisha T Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578233664 PECOS PAC ID: 6901307040 Enrollment ID: I20250829001216 |
| Provider Name | Sherida Yvette Hinton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881868115 PECOS PAC ID: 1658877220 Enrollment ID: I20251002000663 |
| Provider Name | Felicia M Marshall-pierrelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528877750 PECOS PAC ID: 1355838939 Enrollment ID: I20251016002600 |
| Provider Name | Erika Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467130922 PECOS PAC ID: 5193215374 Enrollment ID: I20251106001444 |
| Provider Name | Makeeta M Baytops |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992385694 PECOS PAC ID: 1850882044 Enrollment ID: I20251115000412 |
| Provider Name | Antonia S Partusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841071636 PECOS PAC ID: 6709377708 Enrollment ID: I20251118001968 |
| Provider Name | Candace Clyburn-gamble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225815517 PECOS PAC ID: 4183116635 Enrollment ID: I20251122001130 |
| Provider Name | Adrienne A Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326244161 PECOS PAC ID: 2163916545 Enrollment ID: I20251212001496 |
| Provider Name | Kim R Rogers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073037271 PECOS PAC ID: 1153808282 Enrollment ID: I20260121000606 |
| Provider Name | Tara K Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073056131 PECOS PAC ID: 6709367451 Enrollment ID: I20260220003387 |
| Provider Name | Cameron D Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841979283 PECOS PAC ID: 0446731012 Enrollment ID: I20260221000208 |
| Provider Name | Isabella B Masese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285455899 PECOS PAC ID: 7911494083 Enrollment ID: I20260224002822 |
| Provider Name | Donna M Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134360092 PECOS PAC ID: 8426345109 Enrollment ID: I20260304000380 |
| Provider Name | Amanda D Green-harrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790120095 PECOS PAC ID: 8628550803 Enrollment ID: I20260305004005 |
| Provider Name | Ernest A Gorham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063378008 PECOS PAC ID: 9537642475 Enrollment ID: I20260310002054 |
| Provider Name | Brittany Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710508791 PECOS PAC ID: 5597248278 Enrollment ID: I20260311001174 |
| Provider Name | Dane Wilhelm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811841851 PECOS PAC ID: 2264915958 Enrollment ID: I20260311001308 |
| Provider Name | Valerie H Thorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598253049 PECOS PAC ID: 5496230971 Enrollment ID: I20260402000274 |
| Provider Name | Frank D Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154994044 PECOS PAC ID: 1052896487 Enrollment ID: I20260402001985 |
| Provider Name | Amanda K Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841151289 PECOS PAC ID: 0749765188 Enrollment ID: I20260402002108 |
| Provider Name | Breyunna Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429709 PECOS PAC ID: 1153896113 Enrollment ID: I20260407002058 |
| Provider Name | Satoria Z Pearce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336891613 PECOS PAC ID: 8921576299 Enrollment ID: I20260505002556 |
| Provider Name | Hope H Palacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083308142 PECOS PAC ID: 9830667047 Enrollment ID: I20260506001931 |
| Provider Name | Emily N Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811852197 PECOS PAC ID: 9638647746 Enrollment ID: I20260507000611 |
| Provider Name | Janna S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831837269 PECOS PAC ID: 4284102211 Enrollment ID: I20260507001467 |
| Provider Name | Dajah A Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265039416 PECOS PAC ID: 2668942780 Enrollment ID: I20260529000618 |
| Provider Name | Tammy R Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346626595 PECOS PAC ID: 5991155780 Enrollment ID: I20260605003312 |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch 350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 Ph: (704) 986-1500 | Monarch 350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 Ph: (704) 986-1500 |