Healthcare Provider Details

I. General information

NPI: 1275047060
Provider Name (Legal Business Name): CARENET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 SAINT MARKS CHURCH RD
BURLINGTON NC
27215-9797
US

IV. Provider business mailing address

2000 W 1ST ST STE 410
WINSTON SALEM NC
27104-4225
US

V. Phone/Fax

Practice location:
  • Phone: 336-227-5476
  • Fax: 336-437-1898
Mailing address:
  • Phone: 336-716-7339
  • Fax: 336-716-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROBIN T LINDLEY
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 336-716-7574