Healthcare Provider Details

I. General information

NPI: 1659946804
Provider Name (Legal Business Name): CARENET, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MEDICAL PARK DR
LEXINGTON NC
27292-6773
US

IV. Provider business mailing address

PO BOX 890703
CHARLOTTE NC
28289-0703
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-0855
  • Fax: 336-716-0822
Mailing address:
  • Phone: 336-716-7339
  • Fax: 336-716-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRYAN HATCHER
Title or Position: PRESIDENT
Credential:
Phone: 336-716-0858