MEDICARE: PERSONALIZED THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	101YM0800X	Mental Health Counselor	4144	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902028228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONALIZED THERAPY, INC.

Provider Business Mailing Address
First Line	:	2317 EXECUTIVE CIR STE B
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3762
Country	:	US
Telephone Number	:	252-353-4968
Fax Number	:	252-353-4967

Provider Business Practice Location Address
First Line	:	2317 EXECUTIVE CIR STE B
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3762
Country	:	US
Telephone Number	:	252-353-4968
Fax Number	:	252-353-4967

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MRS. KIM MCINTYRE
Credential	:	MS, LPC
Telephone Number	:	252-353-4968

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	02/23/2011

Similar Medicare Providers

1982682282 — MS. VIRGINIA L. HURLEY LCSW
Practice Location Address:

2317 EXECUTIVE CIR , PERSONALIZED THERAPY, INC.
GREENVILLE, NC
27834-3762

Practice Phone: 252-353-4968
Practice Fax: 252-353-4967

1750328910 — WANDA LYNN LANCASTER MSN, CNS, NP
Practice Location Address:

2317 EXECUTIVE CIR STE B , EXECUTIVE PARK WEST
GREENVILLE, NC
27834-3762

Practice Phone: 252-353-4968
Practice Fax: 252-353-4967

1619918125 — HOSPICE OF EASTERN CAROLINA, INC.
Practice Location Address:

2317 EXECUTIVE CIR STE B
GREENVILLE, NC
27834-3762

Practice Phone: 252-756-3803
Practice Fax: 252-756-3815

1700095684 — MS. MARIA ANN SAPORITO LMFT
Practice Location Address:

2317 EXECUTIVE CIR STE B
GREENVILLE, NC
27834-3762

Practice Phone: 252-353-4968
Practice Fax: 252-353-4967

1467642991 — DIVINE GUIDANCE INTEGRATIVE SERVICES, INC
Practice Location Address:

2317 EXECUTIVE CIR , SUITE B
GREENVILLE, NC
27834-3762

Practice Phone: 252-695-6040
Practice Fax:

1699078311 — PERSONALIZED THERAPY, INC.
Practice Location Address:

2317 EXECUTIVE CIR STE B
GREENVILLE, NC
27834-3762

Practice Phone: 252-353-4968
Practice Fax: 252-353-4967

Directions to “PERSONALIZED THERAPY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.