Organization
EDGECOMBE NASH MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RACKLEY (FINANCE OFFICER)
(252) 937-8141
Entity
Organization
Contact information
Practice address
3007 N MAIN ST, TARBORO, NC 27886-1922
(252) 937-8141
(252) 443-9574
Mailing address
500 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1417
(252) 937-8141
(252) 443-9574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901412
—
NC
05
—
6005571
—
NC
Enumeration date
09/20/2006
Last updated
08/22/2020
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