Healthcare Provider Details

I. General information

NPI: 1588069207
Provider Name (Legal Business Name): CARENET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 PARKWOOD MEDICAL PARK
ELKIN NC
28621-2487
US

IV. Provider business mailing address

PO BOX 1656
NORTH WILKESBORO NC
28659-1656
US

V. Phone/Fax

Practice location:
  • Phone: 336-838-1644
  • Fax: 336-667-7720
Mailing address:
  • Phone: 336-838-1644
  • Fax: 336-667-7720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN N SCOGGIN
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 336-716-7578