Metanoia LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

METANOIA LLC

Practice address

2506 Nash St N
Wilson, NC 27896-1393

Phone

(252) 246-9177

Fax

(252) 243-3489

NPI assigned

Oct 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Caretta Ellis

Title

Cfo

Phone

(252) 246-9177

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1578898136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8474",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358474",
            "telephone_number": "252-916-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961393",
            "telephone_number": "252-246-9177",
            "fax_number": "252-243-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CARETTA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-246-9177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Maria Mendoza, FNP-C
• Mental Wellness Clinical Counseling and Services
• Axel Luis Mercado, PA C
• Debra Bunn Mercer, RPH
• Rubi Baltazar Merino
• Margaret Metts, M.D.
• Michael Halpert MD PA
• Daniel Peter Michalak, M.D.
• Heather Milburn
• Rebekah J Miller, PA-C

• Community/Behavioral Health Agency in Wilson, NC
• Providers in Wilson, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.