Provider / Organization | NPI | Date Certified |
---|---|---|
EPIC STORM-WEST | 1285356295 | 2023-07-04 |
Epic Storm-west is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285356295. Registration indicates Epic Storm-west is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Other Service Providers, Community Health Worker) (Community Health Worker, ) (Community Health Worker, Other Service Providers) (Agencies, Community/Behavioral Health) (Community/Behavioral Health, ) (Community Mental Health Center, ) (Community/Behavioral Health, Agencies) (Nursing Service Related Providers, Adult Companion) (Adult Companion, ) (Adult Companion, Nursing Service Related Providers) (Other Service Providers, Peer Specialist) (Peer Specialist, Other Service Providers) (Peer Specialist, )
Entity Type | Individual |
Provider Name | Epic Storm-west |
Practice Office Address | 218 S CHURTON ST STE 113 HILLSBOROUGH, NC US |
Practice Office Telephone | 5059031976 |
Mailing Address | 3092 BURNELLO CT IRON STATION, NC 280809376 US |
Business Telephone | 9199030402 |
Address | City / State | Phone / Fax |
---|---|---|
3092 Burnello Ct | Iron Station, NC 280809376 | 9199030402 |
Code | Practice | License No State |
---|---|---|
101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
172V00000X | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers | |
251S00000X | Agencies Community/Behavioral Health Community/Behavioral Health Community Mental Health Center Community/Behavioral Health Agencies | |
372600000X | Nursing Service Related Providers Adult Companion Adult Companion Adult Companion Nursing Service Related Providers | |
175T00000X PRIMARY | Other Service Providers Peer Specialist Peer Specialist Other Service Providers Peer Specialist |
NC |