MEDICARE: CARENET, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225646748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARENET, INC

Provider Business Mailing Address
First Line	:	2000 W 1ST ST STE 410
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27104-4225
Country	:	US
Telephone Number	:	336-716-7339
Fax Number	:	336-716-7337

Provider Business Practice Location Address
First Line	:	200 FLINT HILL RD
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3441
Country	:	US
Telephone Number	:	336-838-2872
Fax Number	:	336-566-4015

Authorized Official
Title or Position	:	ASSOCIATE ADMINISTRATIVE COODINATOR
Name	:	LAUREN R JENSEN
Credential	:
Telephone Number	:	336-716-7667

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	06/15/2022

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Directions to “CARENET, INC ” Practice Location

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