Pride In North Carolina, Llc is a Counselor Clinic in Elizabeth City, North Carolina. It is located at 1400 West Church Street Ext., Elizabeth City, NC and its contact number is 252-331-0322. The authorized person for Pride In North Carolina, Llc is Mr. Jason Rutski
who is Director Of Business Operations of the clinic and his/her contact number is 910-452-1460. Pride In North Carolina, Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Pride In North Carolina, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pride In North Carolina, Llc
Specialization:
Mental Health Counselor
Clinic Address:
1400 West Church Street Ext., Elizabeth City, North Carolina, 27909-4510
Phone:
252-331-0322
Fax:
252-331-0320
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Jason Rutski
Position:
Director Of Business Operations
Contact Number:
910-452-1460
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pride In North Carolina, Llc clinic are as mentioned below.
NPI Number:
1760420186
NPI Enumeration Date:
04 Jun, 2006
NPI Last Update On:
04 Oct, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pride In North Carolina, Llc are as mentioned below.
Specialization
License Number
State
Status
Community/behavioral Health
Primary
Mental Health
Secondary
Professional
Secondary
Psychologist
Secondary
Clinical
Secondary
Psychiatry
Secondary
Case Management
Secondary
Community/behavioral Health
North Carolina
Secondary
Adult Mental Health
MHL-067-186
North Carolina
Secondary
Adult Mental Health
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6005354
Medicaid
North Carolina
8300244B
Medicaid
North Carolina
8300247H
Medicaid
North Carolina
8300338
Medicaid
North Carolina
6005355
Medicaid
North Carolina
6006644
Medicaid
North Carolina
8300581G
Medicaid
North Carolina
5900421
Medicaid
North Carolina
6005302
Medicaid
North Carolina
6006660
Medicaid
North Carolina
8300244H
Medicaid
North Carolina
8300246B
Medicaid
North Carolina
8300338B
Medicaid
North Carolina
8300246
Medicaid
North Carolina
8300246G
Medicaid
North Carolina
8300581
Medicaid
North Carolina
8300581H
Medicaid
North Carolina
8303103
Medicaid
North Carolina
8703008
Medicaid
North Carolina
333347
Other
North Carolina
Health Choice
8300245H
Medicaid
North Carolina
225175471
Other
North Carolina
Humana Gold Choice
6005356
Medicaid
North Carolina
8300244G
Medicaid
North Carolina
8300246H
Medicaid
North Carolina
8300247B
Medicaid
North Carolina
8300247G
Medicaid
North Carolina
8300338H
Medicaid
North Carolina
8300245
Medicaid
North Carolina
8300245B
Medicaid
North Carolina
8300245G
Medicaid
North Carolina
8300581B
Medicaid
North Carolina
017E1
Other
North Carolina
Bcbsnc
3410008
Medicaid
North Carolina
341008
Medicaid
North Carolina
8300244
Medicaid
North Carolina
8300247
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pride In North Carolina, Llc 231 Commerce St, Greenville, North Carolina
Zip:
27858-5029
Phone Number:
252-321-8080
Fax Number:
252-321-7999
Patients can reach Pride In North Carolina, Llc at 1400 West Church Street Ext., Elizabeth City, North Carolina or can call to book an appointment on 252-331-0322. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.