# NOVA IC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova-IC, Inc New Beginnings Smithfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669763421
- **Authorized official:** TRACEY PRIDGEN CPA (CFO)
- **Authorized official phone:** (919) 734-8803

## Contact information

- **Practice address:** 2307 NORWOOD AVE STE A, GOLDSBORO, NC 27534-1601
- **Practice address phone:** (919) 734-8803
- **Practice address fax:** (919) 735-6825
- **Mailing address:** PO BOX 11077, GOLDSBORO, NC 27532-1077
- **Mailing address phone:** (919) 734-8803
- **Mailing address fax:** (919) 735-9643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | MHL-051-191 | NC | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 09/23/2026