Healthcare Provider Details
I. General information
NPI: 1447640552
Provider Name (Legal Business Name): CARENET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2015
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
142 S LEXINGTON AVE
BURLINGTON NC
27215-5823
US
IV. Provider business mailing address
142 S LEXINGTON AVE
BURLINGTON NC
27215-5823
US
V. Phone/Fax
- Phone: 336-227-5476
- Fax: 336-437-1898
- Phone: 336-227-5476
- Fax: 336-437-1898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
N
SCOGGIN
Title or Position: PRESIDENT
Credential: PSYD, LPC
Phone: 336-716-7578