Yadkin County Advp is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Boonville, North Carolina. It is located at 3801b River Road, Boonville, NC and its contact number is 336-367-5187. The authorized person for Yadkin County Advp is Mrs. Terri Mikles Vestal
who is Advp Director of the clinic and his/her contact number is 336-336-75187. The primary license number for Yadkin County Advp is MHL-099-002 (Mental Retardation & Developmental Disabilities) in North Carolina. Yadkin County Advp Clinic
Complete Clinic Profile:
Yadkin County Advp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
3801b River Road, Boonville, North Carolina, 27011-8341
Phone:
336-367-5187
Fax:
336-367-3062
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:
Mrs. Terri Mikles Vestal
Position:
Advp Director
Contact Number:
336-336-75187
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 Yadkin County Advp clinic are as mentioned below.
NPI Number:
1003966383
NPI Enumeration Date:
11 Jan, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Yadkin County Advp are as mentioned below.
Specialization
License Number
State
Status
Mental Retardation & Developmental Disabilities
MHL-099-002
North Carolina
Primary
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
3408907
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:
Yadkin County Advp 121 Washington St, Yadkinville, North Carolina
Zip:
27055-7725
Phone Number:
336-367-5187
Fax Number:
336-367-3062
Patients can reach Yadkin County Advp at 3801b River Road, Boonville, North Carolina or can call to book an appointment on 336-367-5187. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.