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Organization
NOVA IC, INC.
Active
Organization
NOVA IC, INC.
Active
Other names
NEW BEGINNINGS
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY PRIDGEN CPA (CFO)
(919) 734-8803
Entity
Organization
Contact information
Practice address
2307 NORWOOD AVE STE A, GOLDSBORO, NC 27534-1601
(919) 734-8803
(919) 735-6825
Mailing address
PO BOX 11077, GOLDSBORO, NC 27532-1077
(919) 734-8803
(919) 735-6825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-096-216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00347
BCBSNC
NC
05
—
8302565
—
NC
05
—
8302565R
—
NC
Enumeration date
12/08/2010
Last updated
09/23/2026
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