Provider Demographics
NPI:1780446567
Name:HEALTH MATTERS, PLLC BEHAVIORAL HEALTH COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:HEALTH MATTERS, PLLC BEHAVIORAL HEALTH COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-515-0738
Mailing Address - Street 1:3540 CLEMMONS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9395
Mailing Address - Country:US
Mailing Address - Phone:336-515-0738
Mailing Address - Fax:336-232-1501
Practice Address - Street 1:3540 CLEMMONS RD STE 110
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9395
Practice Address - Country:US
Practice Address - Phone:336-515-0738
Practice Address - Fax:336-232-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1740287937Medicaid