MEDICARE: SECURING RESOURCES FOR CONSUMERS, 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	103TB0200X	Cognitive & Behavioral Psychologist
2	1041C0700X	Clinical Social Worker
3	2084P0800X	Psychiatry Physician
4	251E00000X	Home Health Agency	HC4345	NC
5	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	MHL032440	NC
6	251S00000X	Community/Behavioral Health Agency	MHL032428	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	HC4345	OTHER	NC	NC DEPARTMENT OF HEALTH AND HUMAN SERVICES

General Provider Information

NPI Number	:	1336219427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECURING RESOURCES FOR CONSUMERS, INC.

Provider Business Mailing Address
First Line	:	3711 UNIVERSITY DR
Second Line	:	STE C
City	:	DURHAM
State	:	NC
Zip	:	27707-2654
Country	:	US
Telephone Number	:	919-405-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 SARDIS RD N
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7711
Country	:	US
Telephone Number	:	704-443-7183
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TAILYN SINGLETON
Credential	:
Telephone Number	:	919-405-2700

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	03/26/2025

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