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Organization
NOVA IC, INC.
Active
Organization
NOVA IC, INC.
Active
Other names
COMMUNITY BEHAVIORAL HEALTH SERVICES
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
103T00000X
Psychologist
0715
NC
2084P0800X
Psychiatry Physician
31639
NC
251S00000X
Community/Behavioral Health Agency
MHL-054-018
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-096-216
NC
Other
Enumeration date
05/26/2010
Last updated
09/23/2026
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