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Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LOCKLEAR (CFO)
(910) 865-3500
Entity
Organization
Contact information
Practice address
4701 FAYETTEVILLE RD, LUMBERTON, NC 28358-2697
(910) 738-3939
(910) 738-3938
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
(910) 865-3500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018J8
BLUE CROSS BLUE SHIELD
NC
05
—
5906542
—
NC
05
—
6005252
—
NC
Enumeration date
01/22/2009
Last updated
04/28/2021
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