Easter Seals Ucp North Carolina & Virginia, INC.
Counselor, Mental Health in Mount Airy, NC. Organization (NPI-2).
Details
- NPI
- 1104988047
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals Ucp North Carolina & Virginia, INC.
- Organization subpart
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Apr 24, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
414 W Lebanon StMount Airy, NC 27030-2954
Phone 336-789-9492 · Fax 336-789-9587
Mailing address
5171 Glenwood AveSuite 211
Raleigh, NC 27612-3266
Phone 919-783-8898 · Fax 919-782-5486
Authorized official
Nasheba Key-Allred
Contract Specialist
9197838898
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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