Organization
CAROLINA CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDSEY SCHMIDT (BILLING OFFICER)
(252) 633-3855
Entity
Organization
Contact information
Practice address
114 N SPRUCE STREET, WILSON, NC 27893-0000
(252) 234-0200
(252) 633-1548
Mailing address
PO BOX 12189, NEW BERN, NC 28561-2189
(252) 633-3855
(252) 633-1548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300912
—
NC
05
—
8300912B
—
NC
05
—
8300912H
—
NC
05
—
8300912R
—
NC
Enumeration date
02/26/2007
Last updated
10/01/2010
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