Easter Seals Ucp North Carolina & Virginia, Inc.
Organization Active NPI Mental Health Counselor · Statesville, NC
NPI 1295884609 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1295884609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
- Practice address
- 913 N Carolina Ave
Statesville, NC 28677-3414 - Phone
- (704) 871-1045
- Fax
- (704) 883-8638
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard P Edwards
- Title
- Vice President
- Phone
- (919) 783-8898
Corporate family (same tax ID) 24
Practitioners 1
-
Shannon Leigh Culler, MSN, FNP-BC
National Provider Directory
- Tax ID family
- Easter Seals Ucp North Carolina Virginia Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
913 N Carolina Ave
Statesville, NC 28677-3414
Mailing address
5171 Glenwood Ave
Suite 400
Raleigh, NC 27612-3266
Phone (919) 783-8898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301764A | Medicaid | NC | |
| 8301764C | Medicaid | NC | |
| 8301764G | Medicaid | NC | |
| 8301764F | Medicaid | NC | |
| 8301764 | Medicaid | NC |
Other providers in Statesville, NC
- Lynn Dunkin
- Deborah Tarter Duplain
- Joseph Durrence
- Travis Benjamin Eason
- Easter Seals Ucp
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
All providers in Statesville, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.