Healthcare Provider Details

I. General information

NPI: 1568712990
Provider Name (Legal Business Name): CARENET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 THOMPSON ST
JACKSONVILLE NC
28540-6127
US

IV. Provider business mailing address

610 S COLLEGE RD
WILMINGTON NC
28403-3202
US

V. Phone/Fax

Practice location:
  • Phone: 910-347-3146
  • Fax: 910-799-3313
Mailing address:
  • Phone: 910-799-1071
  • Fax: 910-799-3313

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: ABBY WASHINGTON
Title or Position: BILLING & FINANCE MGR
Credential:
Phone: 336-716-5583