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Welcome to the Alliance Provider Directory.
All of the members of the Alliance Provider Network listed in this Directory have met enrollment
standards and are contracted to provide Medicaid and/or State-funded mental health, substance
use, intellectual and developmental disability services for residents who live in, or whose
Medicaid originates from Durham, Wake, Cumberland and Johnston counties.
This Directory is broken into groupings of three types of providers and each grouping is listed in
alphabetical order. The three types of providers are:
 Agencies and Group Practices – These generally offer a variety of services provided by a
staff of different kinds of professionals
 Licensed Independent Practitioners (LIPs) – These are individual providers who generally
offer outpatient therapy services
 Hospitals
A particular provider listed in the Directory may provide services in more than one location.
Please contact the provider or the Alliance Access and Information Center at (800) 510-9132 for
more information.
Each provider listing indicates what type of funding that provider accepts, what disability area it
serves, and whether it serves adults and/or children. Note that not all providers are contracted
for every service within their service category.
To submit changes to information in this Directory, Network Providers should use a Notice of
Change form available at alliancebhc.org/providers/forms-applications and email the relevant
information to [email protected].
Because the roster of providers in the Alliance Provider Network changes from time-to-time, an
updated provider list is posted monthly on our website at AllianceBHC.org. The website also
includes an online provider search tool that allows the user to search for providers using a
variety of search options. You can access the search tool by clicking “Find a Provider” at the top
of any page on the website.
Also, you may call the Alliance Access and Information Center toll-free
24 hours a day at (800) 510-9132 to request assistance in finding a provider
or to ask that a hard copy of the Provider Directory be mailed to you.
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
A + Williamson Care Network, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services
1123 A Alamance Church Rd Greensboro, NC 27406
(Guilford County) 336-272-1276
A Bridge To Learning
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
4551 W. Old Hwy 64 Lexington, NC 27295
(Davidson County) 336-601-1810 www.ablearning.com
A Caring Heart Case Management,
Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
21 Noble Street Smithfield, NC 27577
(Johnston County) 252-206-1266
1901 Tarboro St., Sw suite 300 Goldsboro, NC 27534
(Wayne County) 252-206-1266
A Plus Life Skills, Llc
(Medicaid)
Ages:
Services:
201 West Walnut Street Goldsboro, NC 27534
(Wayne County) 919-288-1139
A Small Miracle, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
1890 Tommy's Rd. Goldsboro, Nc 27534 Goldsboro, NC 27534
(Wayne County) 919-751-9089 www.asmallmiracleinc.com
7404 Chapel Hill Road Unit K Raleigh, NC 27607
(Wake County) 919-854-4400 www.asmallmiracleinc.com
1008 Bullard Court Suite 100 Raleigh, NC 27615
(Wake County) 919-900-4422 www.asmallmiracleinc.com
A Touch Of Grace, Inc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services; Respite; Supportive Employment
7028 Kittridge Dr Fayetteville, NC 28314
(Cumberland County) 910-867-9754
120 Westlake Rd. Suite 1 Fayetteville, NC 28314
(Cumberland County) 910-867-9754
209 Pierron Dr Fayetteville, NC 28303
(Cumberland County) 910-867-9754
3635 Abernathy Dr Fayetteville, NC 28311
(Cumberland County) 910-867-9754
1210 August Place Fayetteville, NC 28314
(Cumberland County) 910-867-9754
6514 Cissna Dr Fayetteville, NC 28303
(Cumberland County) 910-867-9754
Page: 1 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
7535a Overbrook Drive Fayetteville, NC 28303
(Cumberland County) 910-867-9754
1262 East Green Springs Rd Parkton, NC 28371
(Robeson County) 910-867-9754
205 Pierron Drive Fayetteville, NC 28303
(Cumberland County) 910-867-9754
A United Community
(Medicaid) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services
4020 Wake Forest Rd., Ste. 301 Raleigh, NC 27609
(Wake County) 919-878-1590
Abilities Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
108 W Caswell Street Kinston, NC 28501
(Lenoir County) 252-939-9944
3612 W. Vernon Ave Benson, NC 28504
(Johnston County) 252-939-9944
Above & Beyond Care, Llc
(Medicaid)
Ages:
Services:
2724 Blossom Rd Hope Mills, NC 28348
(Cumberland County) 910-229-2619
Access Family Services
(Medicaid) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Intensive In-Home Therapy;
Psychiatric Services
2633 West Blvd Charlotte, NC 28208
(Mecklenburg County) 704-910-2134 www.accessfamilyservices.com
1100 Ridgefield Blvd Suite 190 Asheville, NC 28806
(Buncombe County) 828-670-7723 www.accessfamilyservices.com
8701 Moores Chapel Road Charlotte, NC 28214
(Mecklenburg County) 704-910-2134 www.accessfamilyservices.com
2875 Worth Drive Wilmington, NC 28412
(New Hanover County) 910-523-5534 www.accessfamilyservices.com
522 South Duke St. Durham, NC 27701
(Durham County) 919-908-6374 www.accessfamilyservices.com
2565 Ravenhill Drive Suite C Fayetteville, NC 28303
(Cumberland County) 910-339-1928 www.accessfamilyservices.com
8374 Six Forks Rd Ste 101 Raleigh, NC 27615
(Wake County) 919-890-5852 www.accessfamilyservices.com
Page: 2 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Aci Support Specialists, Inc.
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; I/DD Supports; Innovations
Services; Residential Services; Respite; Supportive Employment
342 Wagoner Dr. Suite 107 Fayetteville, NC 28303
(Cumberland County) 910-339-4573 www.acisupport.com
5213 Pronghorn Lane Raleigh, NC 27610
(Wake County) 919-329-5671 www.acisupport.com
6831 Crescent Moon Drive Apt 108 Raleigh, NC 27606
(Wake County) 919-329-5671 www.acisupport.com
1632 Yarborough Rd Parkton, NC 28371
(Robeson County) 919-329-5671 www.acisupport.com
103 London Plain Ct Cary, NC 27513
(Wake County) 919-329-5671 www.acisupport.com
1891 Torrey Dr Fayetteville, NC 28301
(Cumberland County) 919-329-5671 www.acisupport.com
10031 Kingsclere Dr Cary, NC 27511
(Wake County) 919-329-5671 www.acisupport.com
4817 Miranda Dr. Hope Mills, NC 28348
(Cumberland County) 919-329-5671 www.acisupport.com
2215 Lyndhurst Dr Raleigh, NC 27610
(Wake County) 919-329-5671 www.acisupport.com
512 Sequoia Rd Fayetteville, NC 28304
(Cumberland County) 919-329-5671 www.acisupport.com
1145 Armelia Drive Autryville, NC 28318
(Sampson County) 919-329-5671 www.acisupport.com
1619 Winnabow Dr Fayetteville, NC 28304
(Cumberland County) 919-329-5671 www.acisupport.com
2633 Gressitt Point Lane Fayetteville, NC 28306
(Cumberland County) 919-329-5671 www.acisupport.com
6573 Bailey Lake Rd Fayetteville, NC 28304
(Cumberland County) 919-329-5671 www.acisupport.com
834 Timber Drive Garner, NC 27529
(Wake County) 919-329-5671 www.acisupport.com
742 Sessoms Street Fayetteville, NC 28301
(Cumberland County) 919-329-5671 www.acisupport.com
258 Natchez Drive Raeford, NC 28376
(Hoke County) 919-329-5671 www.acisupport.com
5511 Cedar Creek Road Fayetteville, NC 28312
(Cumberland County) 919-345-7420 www.acisupport.com
4342 Pearl Road Raleigh, NC 27610
(Wake County) 315-450-9252 www.acisupport.com
Page: 3 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Adg Associates Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
1319 Aztec Place Fayetteville, NC 28314
(Cumberland County) 910-299-2632
Advance Behavioral Center, Inc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
317 Chatham St. Sanford, NC 27330
(Lee County) 919-777-0214
109 Divine St. Dunn, NC 28334
(Harnett County) 919-777-0214
2505 Fayetteville St. Sanford, NC 27332
(Lee County) 919-777-0214
Advance Behavioral Health
Services, Inc
(Medicaid)
Ages:
Services:
416 Duggins Road Kinston, NC 28501
(Lenoir County) 252-526-7375
2906 Hull Road Kinston, NC 28504
(Lenoir County)
Advanced Health Resources Inc
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Residential Services;
Respite; Supportive Employment
1224 Copeland Oaks Drive Morrisville, NC 27560
(Wake County) 919-380-0175 www.ahrnc.com
1216 Copeland Oaks Drive Morrisville, NC 27560
(Wake County) 919-465-3277 www.ahrnc.com
11030 Raven Ridge Rd Ste Raleigh, NC 27615
(Wake County) 919-380-0175 www.ahrnc.com
8406 Six Forks Road Ste 201 Raleigh, NC 27615
(Wake County) 919-380-0175 www.ahrnc.com
9425 Cartersville Court Raleigh, NC 27613
(Wake County) 919-380-0175 www.ahrnc.com
10909 Fanny Brown Road Raleigh, NC 27603
(Wake County) 919-380-0175 www.ahrnc.com
1327 N. Brightleaf Blvd Suite F Smithfield, NC 27577
(Johnston County) 919-380-0175 www.ahrnc.com
Advantage Care In-Home Services, (Medicaid) Ages:
Services: IDD
Inc.
Innovations Services; Respite; Supportive Employment
265 Satterwhite Point Road Henderson, NC 27536
(Vance County) 252-433-6100 [email protected]
3600 North Duke Street Suite 100 Durham, NC 27704
(Durham County) 252-433-6100 [email protected]
Page: 4 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
476 Lynnbank Rd. Henderson, NC 27536
(Vance County) 252-433-6100 [email protected]
5079 Old Oxford Highway 75 Oxford, NC 27565
(Granville County) 252-433-6100 [email protected]
103 Wortham Court Henderson, NC 27537
(Vance County) 252-433-6100 [email protected]
137 Sombrero Lane Henderson, NC 27537
(Vance County) 252-433-6100 [email protected]
Agape Unit Care Services, Inc.
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
868 Amye Street Fayetteville, NC 28301
(Cumberland County) 910-822-1700
Alamance Academy, Llc
(Medicaid) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services
147 E. Fifth Street Burlington, NC 27215
(Alamance County) 336-227-3111
530 Rosenwald Burlington, NC 27215
(Alamance County) 336-437-4382
Alberta Professional Services, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Innovations Services; Residential
Services; Respite; Supportive Employment
3107 S Elm Eugene Street Suite 2 Greensboro, NC 27406
(Caswell County) 336-273-2640
2305 Walker Avenue Greens, NC 27403
(Guilford County) 336-251-9083
Alexander Youth Network
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Residential Services
6220 Thermal Rd. Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
6220-A Thermal Rd Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
1540 Purdue Drive Ste 300 Fayetteville, NC 28303
(Cumberland County) 910-222-6206
www.alexanderyouthnetwork.org
160 Pinehurst Drive Suite 1 Southern Pines, NC 28387
(Moore County) 910-222-6206 www.alexanderyouthnetwork.org
Page: 5 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
6220-B Thermal Rd. Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
6220-C Thermal Rd. Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
6220-D Thermal Rd. Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
6220-D Thermal Rd Charlotte, NC 28211
(Mecklenburg County) 910-222-6206
www.alexanderyouthnetwork.org
All God's Children Of Burlington,
Llc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
101 Ruby Lane Haw River Haw River, NC 27258
(Alamance County) 336-437-3046
Alliance Behavioral Healthcare
(Medicaid) Ages:
Services: IDD
Innovations Services
4600 Emperor Blvd Durham, NC 27703
(Durham County) (800)510-9132 www.alliancebhc.org
Alpha Home Care Services, Inc.
(State)
Ages:
Services:
105 Oakwood Drive Wake Forest, NC 27587
(Wake County)
Alpha Management Services, Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Respite
2 Consultant Place Durham, NC 27707
(Durham County)
www.alpha-community.org
112 Allen Avenue Franklinton, NC 27525
(Franklin County)
www.alpha-community.org
515 Wheeling Circle Durham, NC 27713
(Durham County)
www.alpha-community.org
1111 Red Crest Lane Durham, NC 27704
(Durham County)
www.alpha-community.org
115 Halpen Drive Cary, NC 27513
(Wake County)
www.alpha-community.org
912 Pristine Lane Rolesville, NC 27571
(Wake County)
www.alpha-community.org
43 Valleyfield Drive Clayton, NC 27527
(Johnston County)
www.alpha-community.org
Page: 6 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
±B Ripley Street Durham, NC 27707
(Durham County)
www.alpha-community.org
2412 Dearborn Dr Durham, NC 27704
(Durham County)
www.alpha-community.org
811 Summerstorm Dr Durham, NC 27703
(Durham County)
www.alpha-community.org
2 Treeline Drive Durham, NC 27705
(Durham County)
www.alpha-community.org
Amblecare, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Supportive Employment
Amblecare,Inc - 1 Industrial Dr 1 Industrial Drive Snow Hill, NC 28580
(Greene County) 336-238-1219
216 Agner Lane Lexington, NC 27292
(Davidson County) 336-238-1219
Ambleside, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Supportive Employment
1 Industrial Dr. Snow Hill, NC 28580
(Greene County) 252-747-5252 www.ambleside.net
2535 Hwy 903 South Snow Hill, NC 28580
(Greene County) 252-747-5252 www.ambleside.net
292 Dogwood Lane Snow Hill, NC 28580
(Greene County) 252-747-5252 www.ambleside.net
670-B Radio Dr. Lexington, NC 27292
(Davidson County) 252-747-5252 www.ambleside.net
316 Fairview Drive Lexington, NC 27292
(Davidson County) 252-747-5252 www.ambleside.net
216 Agner Lane Lexington, NC 27292
(Davidson County) 252-747-5252 www.ambleside.net
1003 Indianhead Circle Snow Hill, NC 28580
(Greene County) 252-747-5252 www.ambleside.net
45 Speight Bridge Rd. Walstonburg, NC 27888
(Greene County) 252-747-5252 www.ambleside.net
212 Dogwood Lane Snow Hill, NC 28580
(Greene County) 252-747-5252 www.ambleside.net
1932 Old Colony Road Kinston, NC 28504
(Lenoir County) 252-747-5252 www.ambleside.net
Americorp Behavioral Health, Llc
(Medicaid) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services
304 W. Millbrook Road Suite F Raleigh, NC 27609
(Wake County) 919-696-6076 [email protected]
Page: 7 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
4717 Windbreak Drive Raleigh, NC 27616
(Wake County) 919-696-6076 [email protected]
Aspirations And Miracles
Community Suppo
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation; SA Comprehensive
Outpatient Treatment
1621 Eastern Avenue P O Box 1311 Rocky Mount, NC 27802
(Edgecombe County) 252-442-0011
701 East Broad Street Suite E Dunn, NC 28334
(Harnett County) 252-442-0011
Aspire Supportive And Counseling
Svcs
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
219 S. East Street Unit A Raleigh, NC 27601
(Wake County)
Autism Services Of Mecklenberg
County, Inc
(Medicaid) Ages:
Residential Services
Services: IDD
2211-A Executive Street Charlotte, NC 28208
(Mecklenburg County) 704-392-9220 www.autismservices.org
4400 Dalmoor Drive Charlotte, NC 28212
(Mecklenburg County) 704-392-9220 www.autismservices.org
Autism Services, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Residential Services;
Respite; Supportive Employment
5004 Kenwood Road Durham, NC 27704
(Durham County) 919-915-0560 ASIofNC.com
2003 Great Bend Drive Durham, NC 27704
(Durham County) 919-688-2730 ASIofNC.com
1310-H Corporation Pkwy Raleigh, NC 27610
(Wake County) 919-255-9011 ASIofNC.com
534 Walnut Street Cary, NC 27511
(Wake County) 919-380-0203 ASIofNC.com
5117 Glen Forest Drive Raleigh, NC 27612
(Wake County) 919-782-3353 ASIofNC.com
113 Dickens Drive Raleigh, NC 27610
(Wake County) 919-250-1907 ASIofNC.com
6501 Jade Tree Lane Raleigh, NC 27615
(Wake County) 919-954-0560 ASIofNC.com
Autism Society Of Cumberland
County
(State) Ages:
I/DD Supports
Services: IDD
351 Wagoner Drive Suite 410 Fayetteville, NC 28303
(Cumberland County)
Page: 8 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Autism Society Of North Carolina
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
6300 Chapel Hill Road Suite 230 Raleigh, NC 27607
(Wake County) 919-743-0204 www.autismsociety-nc.org
6300 Chapel Hill Rd Ste 140 Raleigh, NC 27607
(Wake County) 919-861-0681 www.autismsociety-nc.org
351 Wagoner Drive Ste 402 Fayetteville, NC 28303
(Cumberland County) 910-864-2769 www.autismsociety-nc.org
351 Wagoner Drive Suite 408 Fayetteville, NC 28303
(Cumberland County) 910-864-2769 www.autismsociety-nc.org
5006 Sandlewood Drive Raleigh, NC 27609
(Wake County) 919-786-0027 www.autismsociety-nc.org
2024 Bason Court Raleigh, NC 27609
(Wake County) 919-871-0573 www.autismsociety-nc.org
709 Edgehill Road Fayetteville, NC 28314
(Cumberland County) 910-864-1752 www.autismsociety-nc.org
1047 Murchison Road Suite 128, 130, 132 Fayetteville, NC 28301
(Cumberland County) 910-307-0319 www.autismsociety-nc.org
B And D Behavioral Health Services (Medicaid) Ages:
Services: SA
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services; SA Intensive Outpatient
Program
249 E. Nc Hwy 54 Suite 320 Durham, NC 27713
(Durham County) 919-753-1080 www.bdbehavioralhealth.com
249 E Nc Hwy 54 suite 320 Durham, NC 27713
(Durham County) 919-753-1080 www.bdbehavioralhealth.com
Baart Community Healthcare
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Methadone
Treatment; Psychiatric Services
705 South Mangum St. Durham, NC 27701
(Durham County) 415-552-7914 baartprograms.com
705 S Mangum Durham, NC 27701
(Durham County) 415-552-7914 baartprograms.com
Bailey's Respite Care, Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
516 Ne Lee Street Wilson, NC 27893
(Wilson County) 252-291-8878 www.baileysrc.com
1315 Colonial Avenue Wilson, NC 27896
(Wilson County)
www.baileysrc.com
Page: 9 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2500 Nash Street N Suite A Wilson, NC 27896
(Wilson County)
www.baileysrc.com
Bayada Home Health Care, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2306 W. Meadowview Road Suite 111 Greensboro, NC 27407
(Guilford County) 336-852-2000 www.bayada.com
5505 Creedmoor Rd Suite 220 Raleigh, NC 27612
(Wake County) 336-852-2000 www.bayada.com
Behavioral Counseling And
Psychological Services, Pa.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Comprehensive Outpatient Treatment
916 Hay St. Fayetteville, NC 28305
(Cumberland County) 910-485-1703 www.actdwi.com
Bethesda Care Dba Keston Care
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
11312 Hwy 15-501 North Suite 400 Chapel Hill, NC 27517
(Orange County) 919-967-0507 kestoncare.com
Better Connections Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services
101 West 14th Street Suite #1 Greenville, NC 27834
(Pitt County) 252-814-2118 www.betterconnections.net
3330a Mosley Drive Greenville, NC 27858
(Pitt County) 252-814-2118 www.betterconnections.net
1711 West Lakewood Avenue Durham, NC 27707
(Durham County) 252-814-2118 www.betterconnections.net
Better Living Concepts Of Durham
Llc
(Medicaid)
Ages:
Services:
909 Garcia Avenue Durham, NC 27704
(Durham County) 919-477-5825
Beyond Academics
(Medicaid) Ages:
Services: IDD
Innovations Services; Supportive Employment
1111 Spring Garden St. 3607 Mhra Building Greensboro, NC 27412
(Guilford County) 336-334-3855 beyondacademics.uncg.edu
Blessed Home, Inc.
(Medicaid)
Ages:
Services:
3113 Edgetone Dr Raleigh, NC 27604
(Wake County) 919-850-2336
Bob Inman Inc. Dba Inman Home
Health
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
3724 Sycamore Dairy Rd Ste 116 Fayetteville, NC 28303
(Cumberland County) 910-609-1800 www.inmanhomehealth.com
Page: 10 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3724 Sycamore Dairy Rd Ste 116 Fayetteville, NC 28303
(Cumberland County) 910-609-1800 www.inmanhomehealth.com
Break Out, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services
406 Mare Court Durham, NC 27503
(Durham County) 919-490-1924
412 Pineland Avenue Durham, NC 27704
(Durham County) 919-490-1924
Bridges Of Hope, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
601 North 8th Street Suite B Smithfield, NC 27577
(Johnston County) 919-300-1698 www.bridgesofhopeinc.com
Bridging The Gap Residental
Services Llc
(Medicaid) Ages:
Services: IDD
Innovations Services
6 Consultant Place suite 100b Durham, NC 27707
(Durham County) 919-641-8378
3828 Northlake Drive Durham, NC 27703
(Durham County) 919-641-8378
2010 Lime St. Durham, NC 27704
(Durham County) 919-641-8378
Britton And Crump, Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services
121 Hunt Street Durham, NC 27701
(Durham County) 919-286-2100 www.brittonandcrump.com
Brown Therapeutic Home Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
2223-B Murchison Road Fayetteville, NC 28301
(Cumberland County) 910-864-8400
604 Monagan Street Fayetteville, NC 28301
(Cumberland County) 910-864-8400
C & C Outreach Services, Llc
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
916 Hope Mills Rd. Fayetteville, NC 28304
(Cumberland County) 910-826-3506
Canaan Care Home, Llc
(Medicaid)
Respite
Ages:
Services: IDD
431 Waldo St Cary, NC 27511
(Wake County) 919-467-4574 www.canaancarehomes.com
2804 Stirrup Court Wake Forest, NC 27587
(Wake County) 919-467-4574 www.canaancarehomes.com
Page: 11 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Caring Hands And Supplementary
Enrichment Education, Llc
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite
2216 South Miami Ste 101 Durham, NC 27703
(Durham County) 919-479-6806
14 Chownings Street Durham, NC 27713
(Durham County) 919-479-6806
2865 Virgilina Road Roxboro, NC 27574
(Person County) 919-479-6806
103 Bassett Hall Drive Durham, NC 27713
(Durham County) 919-479-6806
5307 Stardust Drive Durham, NC 27712
(Durham County) 919-479-6806
603 North Maple Street Durham, NC 27703
(Durham County) 919-479-6806
3112 Tripoli Drive Durham, NC 27713
(Durham County) 919-479-6806
3124 Queens Land Rd Raleigh, NC 27614
(Wake County) 919-479-6806
318 Ganyard Farm Way Durham, NC 27703
(Durham County) 919-479-6806
3512 Pinkham Way Raleigh, NC 27616
(Wake County) 919-479-6806
2223 Bayswater Drive Creedmoor, NC 27522
(Granville County) 919-479-6806
409 Tighfield Drive Mebane, NC 27302
(Alamance County) 919-479-6806
112 Allen Ave Franklinton, NC 27525
(Franklin County) 919-479-6806
5410 Summerford Dr Apt 5115 Raleigh, NC 27607
(Wake County) 919-479-6806
1711 West Lakewood Ave Durham, NC 27707
(Durham County) 919-479-6806
308 Pebblestone Drive Durham, NC 27703
(Durham County) 919-479-6806
4021 Bella Park Trail Apt 234 Raleigh, NC 27613
(Wake County) 919-479-6806
1840 Tyne Circle Apt 7103 Raleigh, NC 27607
(Wake County) 919-479-6806
Page: 12 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Caring Hearts Counseling Services, (Medicaid) Ages:
Services:
Llc
Assessment; Counseling/Outpatient Therapy
104 Belle Street Suite 3 Oxford, NC 27565
(Granville County) 919-603-9696
www.caringheartscounselingservices.org
Carobell Inc
(Medicaid) Ages:
Services: IDD
Residential Services; Supportive Employment
198 Cinnamon Drive Hubert, NC 28539
(Onslow County) 910-325-3096 www.carobell.org
199 Cinnamon Drive Hubert, NC 28539
(Onslow County) 910-325-3096 www.carobell.org
561 Queens Creek Road Hubert, NC 28539
(Onslow County) 910-325-3096 www.carobell.org
196 Cinnamon Drive Hubert, NC 28539
(Onslow County) 910-325-3096 www.carobell.org
Carolina Choice, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Day Treatment; Residential Services
114 N. Spruce Street Wilson, NC 27893
(Wilson County) 252-633-3855 www.carolinachoice.com
3300 Trent Road New Bern, NC 28562
(Craven County) 252-633-3855 www.carolinachoice.com
101 W. Elizabeth Street Clinton, NC 28328
(Sampson County) 252-633-3855 www.carolinachoice.com
2313-B Executive Circle Greenville, NC 27834
(Pitt County) 252-633-3855 www.carolinachoice.com
2117 Glenburnie Road Suite 17-18 New Bern, NC 28562
(Craven County) 252-633-3855 www.carolinachoice.com
Carolina Community Support
Services
(Medicaid) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services; SA
Intensive Outpatient Program
411 Andrews Road suite 130 Durham, NC 27705
(Durham County) 919-682-5777
Carolina Outreach, Llc
(Medicaid; State) Ages:
Services: MH / SA
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services; SA Intensive Outpatient
Program
18 A Regent Park Blvd Asheville, NC 28806
(Buncombe County) 828-505-1762 carolinaoutreach.com
2670 Durham Chapel Hill Blvd Durham, NC 27707
(Durham County) 919-251-9001 carolinaoutreach.com
Page: 13 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2670 Durham Chapel Hill Blvd Durham, NC 27707
(Durham County) 919-251-9001 carolinaoutreach.com
712 Wilkins St Ste D&E Smithfield, NC 27577
(Johnston County) 919-251-9001 carolinaoutreach.com
911 Hay Street Fayetteville, NC 28305
(Cumberland County) 910-438-0939 carolinaoutreach.com
935 Shotwell Drive Suite 104a Clayton, NC 27520
(Johnston County) 919-251-9001 carolinaoutreach.com
139 N Center Street Goldsboro, NC 27530
(Wayne County) 919-734-4440 carolinaoutreach.com
3012 Falstaff Road Raleigh, NC 27610
(Wake County) 919-615-1027 carolinaoutreach.com
Carolina Residential Services, Inc
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
1014 Hay Street Fayetteville, NC 28305
(Cumberland County) 910-920-2891
www.carolinaresidentalservices.com
714 East Simmons Street Goldsboro, NC 27530
(Wayne County) 919-580-0020 www.carolinaresidentalservices.com
Carolina Solution, Inc
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
128 West Elwood Avenue Raeford, NC 28376
(Hoke County) 910-875-6042 www.csraeford.com
Carolina Support Services, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Intensive In-Home Therapy; Psychiatric Services
600 North Pollock Street Selma, NC 27576
(Johnston County) 919-965-6770 www.carolinasupportservices.com
200 South Pollock Street Selma, NC 27526
(Johnston County) 919-965-6770 www.carolinasupportservices.com
Carter Clinic, Pa
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing; Residential Services
6214 Kilmory Drive Fayetteville, NC 28304
(Cumberland County) 919-848-0132 thecarterclinic.com
235 Kinlaw Street Fayetteville, NC 28311
(Cumberland County) 919-848-0132 thecarterclinic.com
2151 Skibo Road Fayetteville, NC 28314
(Cumberland County) 919-848-0132 thecarterclinic.com
19 Noble Street Smithfield, NC 27577
(Johnston County) 919-848-0132 thecarterclinic.com
Page: 14 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
6026 Six Forks Rd Raleigh, NC 27609
(Wake County) 919-848-0132 thecarterclinic.com
Caswell Developmental Center
(Medicaid) Ages:
Residential Services
Services: IDD
2415 West Vernon Ave. Kinston, NC 28504
(Lenoir County)
Champion Healthcare Services, Inc. (Medicaid) Ages:
Services:
Assertive Community Treatment
230 Capcom Avenue Suite 103 Wake Forest, NC 27587
(Wake County) 919-803-8178
2949 New Bern Ave Ste 108 Raleigh, NC 27610
(Wake County) 919-803-8178
Changing Outcomes, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
1812 Sapona Road Fayetteville, NC 28312
(Cumberland County) 910-483-8861
Children Under Construction
Treatment Center, Barnes Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
42 Jewel Lane Four Oaks, NC 27524
(Johnston County) 910-551-5481 www.cucbarnes.com
Children's Home Society Of Nc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
604 Meadow St Greensboro, NC 27405
(Guilford County) 336-369-3838 www.chsnc.org
131 Wind Chime Court Raleigh, NC 27615
(Wake County) 336-369-3838 www.chsnc.org
Clientfirst Of Nc, Llc
(Medicaid) Ages:
Services:
Assertive Community Treatment
2719 Graves Dr Suite 5 Goldsboro, NC 27534
(Wayne County) 919-330-4367 ww.cfofnc.com
Club Horizon
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
101b Forest Dr Knightdale, NC 27545
(Wake County)
WWW.CLUBHORIZON.ORG
Cnc/Access Dba Rescare Homecare (Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite
4011 University Drive ste. 201 Durham, NC 27707
(Durham County) 336-403-2718 www.rescarehomecare.com
834 Tyvola Road Suite 104 Charlotte, NC 28217
(Mecklenburg County) 336-403-2718 www.rescarehomecare.com
Page: 15 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
343 E Six Forks Ste 170 Raleigh, NC 27609
(Wake County) 336-403-2718 www.rescarehomecare.com
Coastal Behavior Health Services,
Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
109 Green Street Suite 205a Fayetteville, NC 28301
(Cumberland County) 910-484-8869 www.cbhs.us
Community Alternative Housing
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
2905 Breezewood Ave Suite 104 Fayetteville, NC 28303
(Cumberland County) 910-486-8989
101 Micheal Lane Aberdeen, NC 28315
(Moore County) 910-486-8989
834 Schley Drive Fayetteville, NC 28314
(Cumberland County) 910-486-8989
2429 Gray Goose Loop Fayetteville, NC 28306
(Cumberland County) 910-486-8989
1931 Fairforest Dr Fayetteville, NC 28304
(Cumberland County) 910-486-8989
Community Alternatives, Inc Dba
Community Choices
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Residential Services; SA Comprehensive Outpatient
Treatment; SA Intensive Outpatient Program
2920 Chapel Hill Road 36a Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
2920 Chapel Hill Rd Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
2920 Chapel Hill Rd 54b Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
2920 Chapel Hill Rd 55d Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
2920 Chapel Hill Rd 59a Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
2920 Chapel Hill Rd 60b Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
5800 Executive Center Suite 101 Charlotte, NC 28212
(Mecklenburg County) 919-490-3087 www.comalt.org
1800 Martin Luther King Jr. Parkway Suite 102 Durham, NC 27707
(Durham County) 919-490-3087 www.comalt.org
Page: 16 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Community Based Developmental
Services Inc
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Respite; Supportive
Employment
3274 Rosehill Road Suite 2 Fayetteville, NC 28301
(Cumberland County) 910-488-5820 cbdsnc.com
Community Partnerships, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Supportive Employment
3522 Haworth Drive Raleigh, NC 27609
(Wake County) 919-781-3616
3522 Haworth Drive Raleigh, NC 27609
(Wake County) 919-781-3616
400 West Main Street South Bank Bldg Suite 604 Durham, NC 27701
(Durham County) 919-781-3616
Community Support Service, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1 Terrace Way Greensboro, NC 27403
(Caswell County) 336-855-1810 www.communitysupportservice.com
Community Workforce Solutions,
Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Supportive Employment
3011 Falstaff Road Raleigh, NC 27610
(Wake County) 919-231-3325
www.communityworkforcesolutions.com
3011 Falstaff Road Raleigh, NC 27610
(Wake County) 919-231-3325
www.communityworkforcesolutions.com
602 S. Garnett Street Henderson, NC 27536
(Vance County) 919-231-3325
www.communityworkforcesolutions.com
Comprehensive Community Care,
Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Residential Services;
Respite; Supportive Employment
4905 Brentwood Road Durham, NC 27713
(Durham County)
3308 Durham Chapel Hill Blvd. Bldg. F Durham, NC 27707
(Durham County)
104 Hickory Glenn Lane Durham, NC 27703
(Durham County)
3519 Fayetteville Street Suite 1 Durham, NC 27707
(Durham County) 919-688-4245
Page: 17 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Comserv, Inc.
(Medicaid) Ages:
Residential Services
Services: IDD
3256 Playmore Beach Road Morganton, NC 28655
(Burke County) 828-438-6026 www.comserve.org
Corine's Care Management, Inc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services
369 Bc Hwy 13 South Snow Hill, NC 28580
(Greene County) 252-747-5705 corinescare.org
Cornerstone Treatment Facility
Program, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
3620 Legion Road Hope Mills, NC 28348
(Cumberland County) 850-515-0220 www.ncprtf.com
703 A. West Avenue Red Springs, NC 28377
(Robeson County) 850-515-0220 www.ncprtf.com
778 Hoffman Road Jackson Springs, NC 27281
(Moore County) 850-515-0220 www.ncprtf.com
703b West 3rd Avenue Red Springs, NC 28377
(Robeson County) 850-515-0220 www.ncprtf.com
4433 Marracco Drive Hope Mills, NC 28348
(Cumberland County) 850-515-0220 www.ncprtf.com
Cornerstone Treatment Facility,
Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
3620 Legion Road Hope Mills, NC 28348
(Cumberland County) 850-515-0220 www.ncprtf.com
129 Wallace Road Wadesboro, NC 28170
(Anson County) 850-515-0220 www.ncprtf.com
1958 Turnpike Road Raeford, NC 28376
(Hoke County) 850-515-0220 www.ncprtf.com
Cottage Health Care Services
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3200 Wake Forest Rd Raleigh, NC 27609
(Wake County)
www.cottagehcs.com
Covenant Community Partners, Llc (Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Psychiatric Services; Psychological
Testing; Residential Services
1803 Chapel Hill Road Durham, NC 27707
(Durham County)
covenantcommunitypartners.org
1915 Chapel Hill Rd Durham, NC 27707
(Durham County)
covenantcommunitypartners.org
Page: 18 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Crandell's Enterprises Inc.
(State) Ages:
Services:
Residential Services
1016 East Millbrook Rd Raleigh, NC 27609
(Wake County) 919-790-6739
1919 Boaz Drive Raleigh, NC 27610
(Wake County) 919-790-6739
7112 Outrigger Drive Wendell, NC 27591
(Wake County) 919-790-6739
Cumberland County Communicare, (Medicaid; State) Ages:
Services: SA
Inc.
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Intensive Outpatient Program
711 Executive Place Suite B Fayetteville, NC 28305
(Cumberland County) 910-829-9017 www.cccommunicare.org
226 Bradford Avenue Fayetteville, NC 28301
(Cumberland County) 910-829-9017 www.cccommunicare.org
Cumberland County Department Of (State)
Public Health
Ages:
Services:
109 Bradford Avenue Fayetteville, NC 28301
(Cumberland County) 910-222-6408 www.co.cumberland.nc.us
Cumberland Residential &
Employment Services & Training
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Residential Services; Supportive Employment
241-A Tillinghast Street Fayetteville, NC 28301
(Cumberland County) 910-487-3131
245a Tillinghast Street Fayetteville, NC 28301
(Cumberland County) 910-487-3131
1533 Mintz Drive Fayetteville, NC 28303
(Cumberland County) 910-487-3131
323 Sinclair Street Fayetteville, NC 28301
(Cumberland County) 910-487-3131
635 Dashland Fayetteville, NC 28303
(Cumberland County) 910-487-3131
224 Randolph Ave Fayetteville, NC 28311
(Cumberland County) 910-487-3131
250 Prince Charles Dr Fayetteville, NC 28311
(Cumberland County) 910-487-3131
Cyrus Home, Llc
(Medicaid)
Ages:
Services:
Cyrus Home, Llc-2313 Merganzer Rd Raleigh, NC 27616
(Wake County) 919-217-0015
Page: 19 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
D & L Health Care Services, Inc.
(Medicaid) Ages:
Residential Services
Services: IDD
1108 Quail Meadow Drive Fayetteville, NC 28314
(Cumberland County)
Day By Day Family Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
603 Country Club Drive Fayetteville, NC 28301
(Cumberland County) 910-429-9000 daybydayfamilyservices.com
Daymark Recovery Services, Inc.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Psychiatric Services
107 Sunnybrook Rd Raleigh, NC 27610
(Wake County) 704-939-1133 www.daymarkrecovery.org
130 Carbonton Rd Sanford, NC 27330
(Lee County) 704-939-1133 www.daymarkrecovery.org
101 Colvard Rd Jefferson, NC 28640
(Ashe County) 704-939-1133 www.daymarkrecovery.org
Dd Residential Services
(State) Ages:
Services:
Residential Services
312 S Chestnut St Henderson, NC 27536
(Vance County)
312 S Chestnut St Henderson, NC 27536
(Vance County)
Devereux Residential Services
(Medicaid) Ages:
Services: IDD
Innovations Services
906 Alpha Drive Durham, NC 27703
(Durham County) 919-680-2749
5 Kincaid Court Durham, NC 27703
(Durham County) 919-680-2749
2 Callahan Circle Durham, NC 27703
(Durham County) 919-680-2749
201 West Main Street, Suite 202a Durham, NC 27703
(Durham County) 919-680-2749
103 Settlers Mill Ln Durham, NC 27713
(Durham County) 919-680-2749
Diverse Family Services, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Intensive In-Home Therapy; Psychiatric Services
2402 S Miami Blvd. Suite 108 Durham, NC 27703
(Durham County)
www.dfservices.org
Page: 20 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3519 Fayetteville Road Durham, NC 27703
(Durham County)
www.dfservices.org
Dreamworks Ii Llc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation; SA Comprehensive
Outpatient Treatment
1802 Martin Luther King Jr. Pkwy Suite 208 Durham, NC 27707
(Durham County)
Duke University Health System Fcp State
(State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
Dumc Box 3418 Durham, NC 27710
(Durham County) 919-681-5513
Dunn Psychological Associates, Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
102 Tilghman Drive Dunn, NC 28334
(Harnett County) 910-892-5839
Durham County Community Living
Programs
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Residential Services
3205 Hillsborough Road Durham, NC 27705
(Durham County) 919-489-0682 www.dcclp.org
23 Cambian Place Durham, NC 27704
(Durham County) 919-489-0682 www.dcclp.org
4425 Regis Avenue Durham, NC 27705
(Durham County) 919-489-0682 www.dcclp.org
1119 Carpenter Flectcher Road Durham, NC 27713
(Durham County) 919-489-0682 www.dcclp.org
3520 Dixon Road Durham, NC 27707
(Durham County) 919-489-0682 www.dcclp.org
2502 Pickett Road Durham, NC 27705
(Durham County) 919-489-0682 www.dcclp.org
3523 Westglen Road Durham, NC 27705
(Durham County) 919-489-0682 www.dcclp.org
311 Melbourne Street Durham, NC 27703
(Durham County) 919-489-0682 www.dcclp.org
501 Watts Street Durham, NC 27701
(Durham County) 919-489-0682 www.dcclp.org
3205 Hillsborough Rd Durham, NC 27705
(Durham County) 919-489-0682 www.dcclp.org
Page: 21 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Durham Exchange Club Industries, (Medicaid; State) Ages:
Services: IDD
Inc.
I/DD Supports; Supportive Employment
1717 Lawson Street Durham, NC 27703
(Durham County)
www.deci.org
E D Emmanuel Homes, Llc
(Medicaid)
Ages:
Services:
5212 Sweetbriar Dr Raleigh, NC 27609
(Wake County) 919-231-2981
3912 Willow Oak Rd Raleigh, NC 27604
(Wake County) 919-231-2981
Eagle Healthcare Services, Inc
(Medicaid) Ages:
Services: MH / IDD
Innovations Services; Psychosocial Rehabilitation; Respite
4428 Louisburg Road Suite 109 Raleigh, NC 27604
(Wake County)
5800 Brambleton Avenue Raleigh, NC 27610
(Wake County)
712 Rockville Road Wake Forest, NC 27587
(Wake County)
8020 Caliberwood Drive Raleigh, NC 27616
(Wake County)
3316 Marcony Way Raleigh, NC 27610
(Wake County)
819 Cotton Place Raleigh, NC 27601
(Wake County)
2726 Newsome Street Raleigh, NC 27603
(Wake County)
627 Donald Ross Drive Raleigh, NC 27610
(Wake County)
804 W. Gannon Avenue Zebulon, NC 27597
(Wake County)
3300 New Hope Road Raleigh, NC 27604
(Wake County)
3537 Maitland Drive Raleigh, NC 27610
(Wake County)
Easter Seals Ucp North Carolina &
Virginia, Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assertive Community Treatment; Assessment; Child Residential
Services; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Intensive In-Home Therapy; Multi
Systemic Therapy; Psychiatric Services; Residential Services;
Respite; Supportive Employment
5171 Glenwood Avenue Suite 400 Raleigh, NC 27612
(Wake County) 919-783-8898 www.eastersealsucp.com
Page: 22 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3801 Lake Boone Trail Raleigh, NC 27607
(Wake County) 919-783-8898 www.eastersealsucp.com
1529 Ben Lloyd Drive Raleigh, NC 27604
(Wake County) 919-783-8898 www.eastersealsucp.com
1012 Oberlin Road Raleigh, NC 27605
(Wake County) 919-783-8898 www.eastersealsucp.com
2304 Havering Place Raleigh, NC 27604
(Wake County) 919-783-8898 www.eastersealsucp.com
3406 Old Buffaloe Road Raleigh, NC 27604
(Wake County) 919-783-8898 www.eastersealsucp.com
120 East Lee Street Zebulon, NC 27597
(Wake County) 919-783-8898 www.eastersealsucp.com
2315 Myron Drive Raleigh, NC 27607
(Wake County) 919-865-8780 www.eastersealsucp.com
3608 University Dr. Suite 101 Durham, NC 27707
(Durham County) 919-783-8898 www.eastersealsucp.com
3817 Cheek Road Durham, NC 27704
(Durham County) 919-783-8898 www.eastersealsucp.com
3321 Princeton Mill Parkway #103 Raleigh, NC 27612
(Wake County) 919-783-8898 www.eastersealsucp.com
414 West Lebanon Street Mount Airy, NC 27030
(Surry County) 919-783-8898 www.eastersealsucp.com
223 Hull Road Fayetteville, NC 28303
(Cumberland County) 919-783-8898 www.eastersealsucp.com
351 Wagoner Drive Suite 145 Fayetteville, NC 28303
(Cumberland County) 919-783-8898 www.eastersealsucp.com
150 Pine State Street Lillington, NC 27546
(Harnett County) 919-783-8898 www.eastersealsucp.com
1076 Nc Hwy 86 North Yanceyville, NC 27379
(Caswell County) 919-783-8898 www.eastersealsucp.com
2563 K Eric Lane Burlington, NC 27215
(Alamance County) 919-783-8898 www.eastersealsucp.com
704 Se Second Street Snow Hill, NC 28580
(Greene County) 919-783-8898 www.eastersealsucp.com
200 West 4th Street Greenville, NC 27858
(Pitt County) 919-783-8898 www.eastersealsucp.com
2801 Neuse Blvd New Bern, NC 28560
(Craven County) 919-783-8898 www.eastersealsucp.com
3 Thebes Place Durham, NC 27703
(Durham County) 919-783-8898 www.eastersealsucp.com
813 Chalmers Street Durham, NC 27707
(Durham County) 919-783-8898 www.eastersealsucp.com
Page: 23 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
4038 Capital Drive Rocky Mount, NC 27804
(Nash County) 919-783-8898 www.eastersealsucp.com
314 Chapanoke Rd Raleigh, NC 27603
(Wake County) 919-783-8898 www.eastersealsucp.com
2621 Garden Knoll Drive Raleigh, NC 27614
(Wake County) 919-783-8898 www.eastersealsucp.com
6011 Winterpointe Drive Suite 101 Raleigh, NC 27606
(Wake County) 919-783-8898 www.eastersealsucp.com
851 Hadley Rd Raleigh, NC 27610
(Wake County) 919-783-8898 www.eastersealsucp.com
11381 Involute Pl Suite 103 Raleigh, NC 27617
(Wake County) 919-783-8898 www.eastersealsucp.com
3405-C West Wendover Ave Greensboro, NC 27407
(Guilford County) 919-783-8898 www.eastersealsucp.com
±h West Wendover Ave Greensboro, NC 27407
(Guilford County) 919-783-8898 www.eastersealsucp.com
2230 Blackwolf Run Lane Raleigh, NC 27604
(Wake County) 919-783-8898 www.eastersealsucp.com
Echelon Consulting, Inc Dba
Echelon Care
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
1535 Peachtree Rd Charlotte, NC 28216
(Mecklenburg County) 704-594-9119
7209 J East Wt Harris Blvd Ste 207 Charlotte, NC 28227
(Mecklenburg County) 704-594-9119
6135 Elgywood Lane Charlotte, NC 28213
(Mecklenburg County) 704-594-9119
Educare Community Living
Corporation - Nc Dba Community
Alternatives North Carolina
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; Innovations Services; Residential
Services; Respite
309 Westonridge Run Garner, NC 27529
(Wake County)
2925 Loon Drive Fayetteville, NC 28306
(Cumberland County)
1200 Navaho Drive Raleigh, NC 27609
(Wake County)
216 East Parker Street Calypso, NC 28325
(Duplin County)
6208 Blanche Drive Raleigh, NC 27607
(Wake County)
210 Dartmouth Road Raleigh, NC 27609
(Wake County)
Page: 24 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
5117 Forest Creek Drive Raleigh, NC 27606
(Wake County)
1317 Helmsdale Drive Cary, NC 27511
(Wake County)
3300 Huntleigh Drive Raleigh, NC 27604
(Wake County)
4409 Rockwood Drive Raleigh, NC 27612
(Wake County)
107 Miss Georgia Court Cary, NC 27511
(Wake County)
4617 Lockley Road Apex, NC 27539
(Wake County)
2022 Fordgates Drive Garner, NC 27529
(Wake County)
428 Tippett Road Zebulon, NC 27597
(Wake County)
8609 Stonegate Drive Raleigh, NC 27615
(Wake County)
2533 Rolling Meadows Drive Raleigh, NC 27603
(Wake County)
8612 Keegan Court Raleigh, NC 27615
(Wake County)
1514 Kennon Drive Garner, NC 27529
(Wake County)
3906 Vesta Drive Raleigh, NC 27603
(Wake County)
600 Rawls St Raleigh, NC 27610
(Wake County)
225 Buck Jones Road Raleigh, NC 27606
(Wake County)
Edward's Community Support
Services Inc
(State) Ages:
Services:
Residential Services
1233 Apple Tree Rd Group Home #2 Stantonsburg, NC 27883
(Wilson County)
1269 Appletree Rd Stantonsburg, NC 27883
(Wilson County)
408 East Main St Hookerton, NC 28538
(Greene County)
306 West Greene Street Snow Hill, NC 28580
(Greene County)
710 West Harper St Snow Hill, NC 28580
(Greene County)
Page: 25 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Eliada Homes Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
2 Compton Dr Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
2 Compton Drive Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
2 Compton Drive Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
2 Compton Drive Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
2 Compton Drive Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
2 Compton Drive Asheville, NC 28806
(Buncombe County) 828-254-5356 www.eliada.org
Elite Care Service Inc
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Residential Services;
Respite; SA Comprehensive Outpatient Treatment; Supportive
Employment
111 Lamon St ste 103 Fayetteville, NC 28301
(Cumberland County) 910-483-0324 elitecareserviceinc.com
711 Middle Rd Fayetteville, NC 28312
(Cumberland County) 910-483-0324 elitecareserviceinc.com
Employment Source Inc
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Supportive Employment
600 Ames Street Fayetteville, NC 28301
(Cumberland County) 910-826-4699
Enhancement Health Care
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2437 Ephesus Church Rd Semora, NC 27343
(Person County) 919-599-3691
2801 Darrow Rd Durham, NC 27704
(Durham County) 919-599-3691
600 Audubon Lake Drive Apt. 1-A 11 Durham, NC 27713
(Durham County) 919-599-3691
917 Lancaster Street Durham, NC 27701
(Durham County) 919-599-3691
3326 Guess Road Suite 205 Durham, NC 27705
(Durham County) 919-599-3691
Page: 26 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Envisions Of Life, Llc
(Medicaid) Ages:
Services:
Child Residential Services
4003 Gatwick Ct Greensboro, NC 27406
(Guilford County) 336-887-0708
Essential Supportive Services, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1685 Old Us Hwy 70 West Clayton, NC 27520
(Johnston County) 919-550-0639
www.essentialsupportiveservices.com
Evans-Walston Home, Llc
(Medicaid)
Ages:
Services:
808 Hawks View Ct Fuquay Varina, NC 27526
(Wake County) 919-552-1312
Evergreen Behavioral Management, (Medicaid; State) Ages:
Services: SA / IDD
Inc.
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Crisis Services;
Day Treatment; I/DD Supports; Innovations Services; Intensive
In-Home Therapy; Psychiatric Services; Respite; SA
Comprehensive Outpatient Treatment; SA Intensive Outpatient
Program; Supportive Employment
220 Wintergreen Drive Suite G & H Lumberton, NC 28358
(Robeson County) 910-641-0600 www.evergreenbehavioral.com
1911 South 17th Street Suite 100 Wilmington, NC 28401
(New Hanover County) 910-641-0600 www.evergreenbehavioral.com
1409 Pinckney St. Whiteville, NC 28472
(Columbus County) 910-641-0600 www.evergreenbehavioral.com
4276 Legend Avenue, Zone B Ste C Fayetteville, NC 28303
(Cumberland County) 910-641-0600 www.evergreenbehavioral.com
Extended Reach Day Treatment For (Medicaid) Ages:
Services: SA
Children And Adolescents, Llc
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services; Psychological Testing
302 Bradford Avenue Suite 2 Fayetteville, NC 28301
(Cumberland County) 910-484-0095 www.extendedreach.org
Faith In Families, Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Multi Systemic Therapy; Psychiatric Services;
Residential Services
232 Gilmer Street suite 206 Reidsville, NC 27320
(Rockingham County) 336-347-7415 faithinfamiliesinc.org
2296 Nc Highway 5 Suite C Aberdeen, NC 28315
(Moore County) 336-347-7415 faithinfamiliesinc.org
Page: 27 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
1105 East Wendover Avenue Suite B Greensboro, NC 27405
(Guilford County) 336-347-7415 faithinfamiliesinc.org
344 N. Main Street Troy, NC 27371
(Montgomery County) 336-347-7415 faithinfamiliesinc.org
Falcon Crest Residential Care, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1101 S Fifth St Mebane, NC 27302
(Alamance County) 336-226-2575
2094 Haith Fuller Trail Mebane, NC 27302
(Alamance County) 336-226-2575
3309a N Nc Hwy 49 Burlington, NC 27217
(Alamance County) 336-226-2575
Family First Community Services,
Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3705 Latrobe Drive, Suite 340 Charlotte, NC 28211
(Mecklenburg County) 704-364-3989
Family First Support Center,Inc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1112 Atkinson Street Laurinburg, NC 28352
(Scotland County) 919-635-3344 www.familyfirst1.com
1140 Benson Rd Ste 104 Garner, NC 27529
(Wake County) 919-635-3344 www.familyfirst1.com
Family Legacy Mental Health
Services
(Medicaid; State) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services; SA
Intensive Outpatient Program
1011 Schaub Drive Suite 201 Raleigh, NC 27606
(Wake County) 919-834-2000 www.familylegacyinc.com
1007 Broad Street Durham, NC 27705
(Durham County) 919-834-2000 www.familylegacyinc.com
Family Preservation Services Of N
C
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Psychosocial Rehabilitation
200 Parkview Drive Suite A Henderson, NC 27536
(Vance County) 704-344-0491
1316 Patton Avenue Suite D Asheville, NC 28806
(Buncombe County) 704-344-0491
2609 North Duke St. suite 504 Durham, NC 27704
(Durham County) 704-344-0491
Page: 28 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3824 Barrett Drive,Ste. 200 Raleigh Nc 27609 Raleigh, NC 27609
(Wake County) 919-850-3480
4601 Park Road Suite 400 Charlotte, NC 28209
(Durham County) 704-344-0491
Family Services Of America Corp
(Ican)
(Medicaid) Ages:
Services: IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
2504 Suite A Raeford Road Fayetteville, NC 28305
(Cumberland County) 910-860-9787 www.familiesofusa.com
6112 Louise St Fayetteville, NC 28314
(Cumberland County) 910-860-9787 www.familiesofusa.com
Fayetteville Street Community
Living Home
(Medicaid)
Ages:
Services:
111 N Maple Street Durham, NC 27703
(Durham County) 919-596-9801
Fellowship Health Resources
(Medicaid; State) Ages:
Services: MH / SA
Assertive Community Treatment; Assessment;
Counseling/Outpatient Therapy; Psychiatric Services;
Psychosocial Rehabilitation; SA Intensive Outpatient Program
5509 Creedmoor Road Raleigh, NC 27612
(Wake County) 919-573-6520 www.fellowshiphr.org
222 East Chatham Street Cary, NC 27513
(Wake County) 919-573-6520 www.fellowshiphr.org
3010 Falstaff Rd Raleigh, NC 27610
(Wake County) 919-573-6520 www.fellowshiphr.org
Fidelity Community Support Group (Medicaid) Ages:
Services: SA
Inc.
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services; SA
Intensive Outpatient Program
2327 Englert Drive Suite 306 Durham, NC 27713
(Durham County) 919-806-0009
Firm Foundation, Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
2018 Ft. Bragg Road Suite 124 Fayetteville, NC 28303
(Cumberland County) 910-485-3332
www.firmfoundationinc.com
Forever Young Group Care, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1133 Chestnut Wood Drive Fayetteville, NC 28314
(Cumberland County) 910-864-9148
975 Comet Circle Fayetteville, NC 28314
(Cumberland County) 910-864-9148
Page: 29 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Freedom House Recovery Center
(Medicaid; State) Ages:
Services: SA
Adult Residential Services; Assessment; Counseling/Outpatient
Therapy; Crisis Services; Psychiatric Services; Residential
Services
110 New Stateside Drive Chapel Hill, NC 27516
(Chatham County) 919-942-2803 www.freedomhouserecovery.org
355 C1 South Madison Blvd Roxboro, NC 27573
(Person County) 919-942-2803 www.freedomhouserecovery.org
116-118 New Stateside Drive Chapel Hill, NC 27516
(Chatham County) 919-942-2803 www.freedomhouserecovery.org
601 Carlton Street Durham, NC 27701
(Durham County) 919-942-2803 www.freedomhouserecovery.org
309 Crutchfield Street Durham, NC 27704
(Durham County) 919-942-2803 www.freedomhouserecovery.org
309 Crutchfield Street Durham, NC 27704
(Durham County) 919-942-2803 www.freedomhouserecovery.org
2404 Francis Street Durham, NC 27707
(Durham County) 919-942-2803 www.freedomhouserecovery.org
309 Crutchfield Street Durham, NC 27704
(Durham County) 919-942-2803 www.freedomhouserecovery.org
529 Holloway Street Durham, NC 27701
(Durham County) 919-942-2803 www.freedomhouserecovery.org
104 New Stateside Drive Chapel Hill, NC 27516
(Chatham County) 919-942-2803 www.freedomhouserecovery.org
309 Crutchfield Street Durham, NC 27704
(Durham County) 919-942-2803 www.freedomhouserecovery.org
Fresh Start Residential Facility, Inc (Medicaid)
Ages:
Services:
7866 Adrian Drive Fayetteville, NC 28314
(Cumberland County) 910-867-3591
123 Jefferson Drive Raeford, NC 28376
(Hoke County) 910-867-3591
2639 Dumbarton Road Fayetteville, NC 28306
(Cumberland County) 910-867-3591
Gha Autism Supports
(Medicaid) Ages:
Services: IDD
Innovations Services; Residential Services; Supportive
Employment
213 North Second Street Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
31719 Herb Farm Circle Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
Page: 30 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
31713 Herb Farm Circle Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
31711 Herb Farm Circle Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
1213 Moss Springs Road Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
510 North Fourth Street Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
824 Blake Road Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
125 Charter Street Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
31736 Herb Farm Circle Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
804 West Main Street Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
24798 Ramsey Road Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
1921 Palmetto Drive Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
1519 East Main Street Apartment A Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
24950 Bost Rd Albemarle, NC 28001
(Stanly County) 704-982-9600 www.ghaautismsupports.org
Grandfather Home For Children,
Inc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Day Treatment; Residential Services
158 Grandfather Home Drive Banner Elk, NC 28604
(Avery County) 828-898-5465 www.grandfatherhome.org
158 Hickory Nut Gap Road Banner Elk, NC 28604
(Avery County) 828-898-5465 www.grandfatherhome.org
240 Grandfather Home For Children Drive Bldg 1 Banner Elk, NC 28604
(Avery County) 828-898-5465 www.grandfatherhome.org
240 Grandfather Home For Children Drive Bldg. 2 Banner Elk, NC
28604
(Avery County) 828-898-5465 www.grandfatherhome.org
240 Grandfather Home For Children Drive Banner Elk, NC 28604
(Avery County) 828-898-5465 www.grandfatherhome.org
64 Hickory Nut Gap Rd Banner Elk, NC 28604
(Avery County) 828-898-5465 www.grandfatherhome.org
Page: 31 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Great Expectations Day Facility
And Enrichment Program, Llc
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
1329 Robeson St Fayetteville, NC 28305
(Cumberland County) 910-488-3107 http://greatexpectationsdf.com
Greater Image Healthcare Corp
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Psychiatric Services; Psychological Testing
401 Robeson St Fayetteville, NC 28301
(Cumberland County) 910-321-0069
Guardian Angel Healthcare, Llc
(Medicaid)
Ages:
Services:
270 Charles Street Henderson, NC 27536
(Vance County) 252-572-2146
Haire Enterprises, Inc.
(Medicaid; State) Ages:
Multi Systemic Therapy
Services:
1480 Pamalee Dr Fayetteville, NC 28303
(Cumberland County) 910-488-7517 www.c-rep.org
Haven House
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Multi Systemic
Therapy; Psychiatric Services
600 W. Cabarrus Street Raleigh, NC 27603
(Wake County) 919-833-3312
Healing Interventions, Inc.
(Medicaid) Ages:
Services: MH
Assessment; Intensive In-Home Therapy; Psychosocial
Rehabilitation
1100 Navaho Drive Suite 106-B Raleigh, NC 27609
(Wake County) 919-896-7055 healinginterventionsinc.com
Healing With C.A.A.R.E., Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Comprehensive Outpatient Treatment
214 Broadway Street Durham, NC 27701
(Durham County)
www.caare-inc.org
Healthcore Resource, Inc.
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Innovations Services; Intensive InHome Therapy; Psychiatric Services; Residential Services;
Respite
1001 Navaho Drive Suite 101 Raleigh, NC 27609
(Wake County) 919-872-1178 www.hcresource.com
109 E. Oak St Selma, NC 27576
(Johnston County) 919-872-1178 www.hcresource.com
Page: 32 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3209 Guess Rd Suite 101 Durham, NC 27705
(Durham County) 919-872-1178 www.hcresource.com
109 Evening Star Drive Apex, NC 27502
(Wake County) 919-872-1178 www.hcresource.com
821 Brookhannah Ct Fuquay Varina, NC 27526
(Wake County) 919-872-1178 www.hcresource.com
8909 Sauls Rd Raleigh, NC 27603
(Wake County) 919-872-1178 www.hcresource.com
2940 Falstaff Rd Raleigh, NC 27610
(Wake County) 919-872-1178 www.hcresource.com
7625 Mine Valley Rd Raleigh, NC 27615
(Wake County) 919-872-1178 www.hcresource.com
Heartfelt Alternatives Inc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Residential Services
1100 Logger Ct Ste C100 Raleigh, NC 27609
(Wake County) 919-844-7770
3828 Old Coach Road Raleigh, NC 27616
(Wake County) 919-844-7770
Herbert Reid Home, Inc.
(Medicaid)
Ages:
Services:
3733 Heritage Meadow Lane Holly Springs, NC 27540
(Wake County) 919-363-5311
3735 Heritage Meadow Lane Holly Springs, NC 27540
(Wake County) 919-363-5311
Herbert Way Of Living, Llc
(Medicaid)
Ages:
Services:
519 E. Club Blvd. Durham, NC 27704
(Durham County) 919-317-1270 wwwherbertwayofliving.com
Homecare Management
Corporation
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
315 Wilkesboro Boulevard Ne Suite 2a Lenoir, NC 28645
(Caldwell County) 910-640-1153 homecaremgmt.og
1710 Howard Avenue Tarboro, NC 27886
(Edgecombe County) 910-640-1153 homecaremgmt.og
5505 Business Drive Wilmington, NC 28405
(New Hanover County) 910-640-1153 homecaremgmt.og
2208 James B. White Hwy. N. Whiteville, NC 28472
(Columbus County) 910-640-1153 homecaremgmt.og
Page: 33 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Hope Services, Llc
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Intensive In-Home Therapy; Psychiatric Services
2900 Kidd Rd Raleigh, NC 27610
(Wake County) 919-215-8852 www.hopeservices4u.com
3000 Highwoods Blvd Ste 310 Raleigh, NC 27604
(Wake County) 919-714-7500 www.hopeservices4u.com
Hope-Thru-Horses Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
162 Schmidt Lane Lumber Bridge, NC 28357
(Robeson County) 910-494-5888
351 Wagoner Avenue Fayetteville, NC 28303
(Cumberland County) 910-494-5888
Horizons Residential Care Center
(Medicaid) Ages:
Residential Services
Services: IDD
100 Horizons Ln Rural Hall, NC 27045
(Forsyth County) 336-767-2411
101 & 103 Horizons Lane Rural Hall, NC 27045
(Forsyth County) 336-767-2411
5900 Bethabara Park Boulevard Winston Salem, NC 27106
(Forsyth County) 336-767-2411
House Of Care, Inc.
(Medicaid; State) Ages:
Services: MH / IDD
I/DD Supports; Innovations Services; Psychosocial
Rehabilitation; Respite
109 Deer Farm Lane Willow Springs, NC 27592
(Wake County) 919-493-6871
3020 Picket Road Durham, NC 27705
(Durham County) 919-493-6871
5800 Lake Elton Road Durham, NC 27713
(Durham County) 919-493-6871
5441 Lumley Road Suite 101 Durham, NC 27703
(Durham County) 919-493-6871
3500 Westgate Drive Suite 303 Suite 303 Durham, NC 27707
(Durham County) 919-493-6871
203 Blue Heron Dr Youngsville, NC 27596
(Franklin County) 919-493-6871
Housing For New Hope
(State)
Ages:
Services:
18 West Colony Place Suite 250 Durham, NC 27705
(Durham County)
Page: 34 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
18 West Colony Place Durham, NC 27705
(Durham County)
Howell Support Services
(Medicaid) Ages:
Services: IDD
Innovations Services; Residential Services; Respite; Supportive
Employment
900 Roseanne Drive Kinston, NC 28504
(Lenoir County) 919-778-1506 www.hssllc.com
907 A Landmark Drive Goldsboro, NC 27532
(Wayne County) 919-778-1506 www.hssllc.com
Improving Life, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
2305 Cleveland Ave Fayetteville, NC 28301
(Cumberland County) 910-223-9284
Inez's House
(Medicaid)
Ages:
Services:
2811 Independence Ave Durham, NC 27703
(Durham County) 919-451-7267
Inspirationz, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
607 Hillhaven Drive Winston Salem, NC 27107
(Forsyth County) 336-788-8579
Irene Wortham Residential Center, (Medicaid) Ages:
Inc.
Residential Services
Services: IDD
1 Rose Street Asheville, NC 28803
(Buncombe County) 828-274-7518 iwcnc.org
2 Rose Street Asheville, NC 28803
(Buncombe County) 828-274-7518 iwcnc.org
J. Iverson Riddle Developmental
Center
(Medicaid) Ages:
Residential Services
Services: IDD
300 Enola Rd. Morganton, NC 28655
(Burke County)
J-1 Consultants, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
410-D Millstone Drive Hillsborough, NC 27278
(Orange County) 919-732-5425 www.j1consultants.org
Jareh Healthcare, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2116 S. Miami Blvd Durham, NC 27703
(Durham County) 919-957-3354
Page: 35 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Jeanette Purifoy Dba Michael's
World
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2220 Dockvale Drive Fayetteville, NC 28306
(Cumberland County) 910-424-6199
Johari Family Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Multi Systemic
Therapy; Psychiatric Services
102 S Wilson Ave Ste A Dunn, NC 28334
(Harnett County) 910-897-3000 www.joharifs.com
511 Middle Rd Fayetteville, NC 28312
(Cumberland County)
www.joharifs.com
Johnson's House Of Hope Family
Care Home, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2509 Rolling Pines Avenue Durham, NC 27703
(Durham County) 919-598-6416
2117 Star Sapphire Drive Raleigh, NC 27610
(Wake County) 919-598-6416
Johnston Counseling Services Inc
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
111 North Second Street Smithfield, NC 27577
(Johnston County) 919-938-0921
Johnston County Industries, Inc.
(Medicaid; State) Ages:
Services: MH / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Psychiatric Services; Psychosocial Rehabilitation; Supportive
Employment
1100 E. Preston St Selma, NC 27576
(Johnston County) 919-743-8709 www.jcindustries.com
112 Richardson St Selma, NC 27576
(Johnston County) 919-743-8709 www.jcindustries.com
Johnston County Public Health
Department
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
517 N Bright Leaf Blvd Smithfield, NC 27577
(Johnston County) 919-989-5500
Johnston Recovery Services
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Methadone
Treatment; Psychiatric Services
1699 Old Us Highway 70 West Clayton, NC 27520
(Johnston County) 919-359-1699
Page: 36 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Jones Health Services, Inc.
(Medicaid; State)
Ages:
Services:
3809 Pickett Road Durham, NC 27705
(Durham County) 919-403-9644
3811 Pickett Rd Durham, NC 27705
(Durham County) 919-403-9644
Joseph's Community Support
Services, Inc.
(Medicaid) Ages:
Services: MH
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Psychiatric Services; Psychosocial Rehabilitation
1501 N Queen Street Kinston, NC 28501
(Lenoir County) 252-520-2001
www.josephscommunitysupportservices.com
2005 N Queen Street Kinston, NC 28501
(Lenoir County) 252-208-2005
www.josephscommunitysupportservices.com
Julian F. Keith Adatc
(Medicaid)
Ages:
Services:
201 Tabernacle Rd. Black Mountain, NC 28711
(Buncombe County)
Kaleo Supports Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
5227 Matt Hair Rd Fayetteville, NC 28312
(Cumberland County) 910-630-2255
7618 Firethorn Drive Fayetteville, NC 28312
(Cumberland County) 910-630-2255
1610 Berriedale Dr Fayetteville, NC 28304
(Cumberland County) 910-630-2255
202 Scarborough St Spring Lake, NC 28390
(Cumberland County) 910-630-2255
123 Buckingham Ave Fayetteville, NC 28301
(Cumberland County) 910-630-2255
Keep Hope Alive, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1419 Greenville Blvd. Se Greenville, NC 27858
(Pitt County) 252-353-8003 [email protected]
1110 Greenville Blvd. Se Greenville, NC 27858
(Pitt County) 252-353-8003 [email protected]
3219 Landmark Street Suite 6 Greenville, NC 27834
(Pitt County) 252-353-8003 [email protected]
Page: 37 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Kidspeace National Centers Of
North Amer
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
3117 Poplarwood Court Suite 100 Raleigh, NC 27604
(Wake County) 919-872-6447 www.kidspeace.org
3710 University Drive Suite 200 Durham, NC 27707
(Durham County) 919-872-6447 www.kidspeace.org
2944 Breezewood Ave Suite 203 Fayetteville, NC 28303
(Cumberland County) 919-872-6447 www.kidspeace.org
Kmg Holdings, Inc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1521 Ranch Road Clayton, NC 27520
(Johnston County) 919-553-9111 www.kmgholdings.com
2016 Fort Drive Raleigh, NC 27520
(Wake County) 919-553-9111 www.kmgholdings.com
Kraft Psychological Services, Pa
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
221 Barbour St Clayton, NC 27520
(Johnston County) 919-550-0500
Kv Consultants
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
106 E. Sixth Street Lumberton, NC 28358
(Robeson County) 910-223-7114 kvconsultants.com
2411 Robeson Street Ste 100 Fayetteville, NC 28305
(Cumberland County) 910-223-7114 kvconsultants.com
Lee County Industries
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
2711 Tramway Rd Sanford, NC 27332
(Lee County) 919-775-3439 www.lciinc.org
Liberty Medical Specialties, Inc.
(Medicaid)
Ages:
Services:
1804 Owen Drive Fayetteville, NC 28304
(Cumberland County)
Life Based Conceptions Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2144 Page Rd Suite 102 Durham, NC 27703
(Durham County) 919-403-6160
Page: 38 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Life Changez, Inc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
8410 Six Forks Rd Suite 104 Raleigh, NC 27615
(Wake County) 919-239-4299
800 Perry Howard Road Fuquay Varina, NC 27526
(Wake County) 919-239-4299
3833 Buffalo Road Raleigh, NC 27604
(Wake County) 919-239-4299
5321 Logos Ct Raleigh, NC 27610
(Wake County) 919-896-8171
Life Opportunities Therapeutic
Home
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; Residential Services
1002 East 4th Avenue Suite B Red Springs, NC 28377
(Robeson County) 910-843-1105
Life Opportunities, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
3775 Old Lowery Road Red Springs, NC 28377
(Robeson County) 910-843-1105
220 Calvins Rd Shannon, NC 28386
(Robeson County) 910-843-1105
1002 E 4th Avenue Red Springs, NC 28377
(Robeson County) 910-843-1105
Life, Inc
(Medicaid) Ages:
Residential Services
Services: IDD
2609 Royall Ave Goldsboro, NC 27534
(Wayne County) 919-778-1900 www.lifeincorporated.com
102 Midway Lane Roanoke Rapids, NC 27870
(Halifax County) 919-778-1900 www.lifeincorporated.com
28 Wood Glen Road Roanoke Rapids, NC 27870
(Halifax County) 919-778-1900 www.lifeincorporated.com
156 Countryside Street, Sw Supply, NC 28462
(Brunswick County) 919-778-1900 www.lifeincorporated.com
5910 Farmwood Road Wilson, NC 27896
(Wilson County) 919-778-1900 www.lifeincorporated.com
1101 E. Walnut Street Goldsboro, NC 27530
(Wayne County) 919-778-1900 www.lifeincorporated.com
Lifesource Of North Carolina
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
5617 Maxwell Place 5617 Maxwell Place, NC 28409
(New Hanover County) 910-535-1211
Page: 39 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Lift Day Activity Center, Llc
(Medicaid)
Ages:
Services:
313 W Sycamore Street Zebulon, NC 27597
(Wake County) 919-569-9566
Lighthouse Counseling Center And
Associated Therapeutic Services,
Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
901 Arsenal Avenue Suite 202 Fayetteville, NC 28305
(Cumberland County) 910-323-3368
www.lighthousecounselingfayetteville.com
Lindley Habilitation Services, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
4214 Beechwood Dr. Suite 101 Greensboro, NC 27410
(Guilford County) 336-848-4654 www.lindleyhabilitation.com
4915 Water's Edge Drive Suite 255 Raleigh, NC 27606
(Wake County) 336-848-4654 www.lindleyhabilitation.com
8132 Green Lantern Street Apt 304 Raleigh, NC 27613
(Wake County) 336-848-4654 www.lindleyhabilitation.com
Longmire's Counseling, Consulting (Medicaid) Ages:
Services: SA
And Training, Llc
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
6238 Penfield Dr Fayetteville, NC 28314
(Cumberland County) 910-867-7622
Lutheran Family Services In The
Carolinas
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; Innovations Services; Residential
Services; Respite
616 Hutton Street Suite 103 Raleigh, NC 27606
(Wake County) 704-940-3320 www.lfscarolinas.org
3257 Lake Woodward Drive Raleigh, NC 27605
(Wake County) 704-940-3320 www.lfscarolinas.org
6590 Rollingwood Dr. Clemmons, NC 27012
(Davidson County) 704-940-3320 www.lfscarolinas.org
185 Martindale Rd. Winston Salem, NC 27107
(Forsyth County) 704-940-3320 www.lfscarolinas.org
4822 Albemarle Rd Suite 240 Charlotte, NC 28205
(Mecklenburg County) 704-940-3320 www.lfscarolinas.org
Lydia's Home, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
2704 Grimsley Street Greensboro, NC 27403
(Caswell County) 336-253-4799
Page: 40 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Makin' Choices, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
3828 Goforth Drive Hope Mills, NC 28348
(Cumberland County) 919-490-8041 www.makinchoices.com
400 Glencary Apt 103 Durham, NC 27707
(Durham County) 919-490-8041 www.makinchoices.com
1720 Hamlin Rd Durham, NC 27704
(Durham County) 919-490-8041 www.makinchoices.com
813 Chalmers Street Durham, NC 27707
(Durham County) 919-490-8041 www.makinchoices.com
5530 Sunlight Dr Apt 101 Durham, NC 27707
(Durham County) 919-490-8041 www.makinchoices.com
5530 Sunlight Dr Apt 106 Durham, NC 27707
(Durham County) 919-490-8041 www.makinchoices.com
2000 Chapel Hill Road Suite 23 Durham, NC 27707
(Durham County) 919-490-8041 www.makinchoices.com
Maxim Healthcare Services, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
4411 West Market Street Suite 304 Greensboro, NC 27407
(Guilford County) 919-419-1484
231 Meed Court Suite 202 Fayetteville, NC 28303
(Cumberland County) 919-419-1484
2634 Durham Chapel Hill Blvd Suite 210 Durham, NC 27707
(Durham County) 919-419-1484
5510 Six Forks Rd Raleigh, NC 27609
(Wake County) 919-419-1484
2915 Raeford Road Suite 204 Fayetteville, NC 28303
(Cumberland County) 919-419-1484
Melange Health Solutions, Llc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services
145 Scaleybark Road Charlotte, NC 28209
(Mecklenburg County) 704-567-8690 www.melangehs.com
2216 South Miami Blvd Suite 103 Durham, NC 27703
(Durham County) 919-806-0509 www.melangehs.com
400 W Main Street Ste 614 Durham, NC 27701
(Durham County) 919-806-0509 www.melangehs.com
Methodist Home For Children
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
1041 Washington Street Raleigh, NC 27605
(Wake County) 919-833-2834
Page: 41 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
5400 North Hills Drive Raleigh, NC 27612
(Wake County) 919-833-2834
Mhs Unlimited, Corporation
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Respite; Supportive
Employment
15 Toms Rock Place Durham, NC 27704
(Durham County) 919-281-0153
6 Consultant Place suite 200 Durham, NC 27707
(Durham County) 919-281-0153
6 Consultant Place Durham, NC 27707
(Durham County) 919-281-0153
2811 Independence Avenue Durham, NC 27705
(Durham County) 919-281-0153
111 North Maple Street Durham, NC 27703
(Durham County) 919-281-0153
Mid State Health Systems
(Medicaid) Ages:
Residential Services
Services: IDD
4309 Nc Hwy 87 S Fayetteville, NC 28306
(Cumberland County) 910-484-3717
3721 Legion Road Hope Mills, NC 28348
(Cumberland County) 910-484-3717
1050 Hogan Street Fayetteville, NC 28311
(Cumberland County) 910-484-3717
7559 Decatur Drive Fayetteville, NC 28303
(Cumberland County) 910-484-3717
Monarch
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services; Residential Services; Supportive
Employment
901 Berkshire Road Smithfield, NC 27577
(Johnston County) 704-986-1522
295 Airport Road Rockingham, NC 28379
(Richmond County) 704-305-9066
350 Pee Dee Avenue Albemarle, NC 28001
(Stanly County) 704-305-9066
1100 Lafayette Drive Albemarle, NC 28001
(Stanly County) 704-305-9066
205 East Ingram Avenue Mt Gilead, NC 27306
(Montgomery County) 704-305-9066
4140 North Cherry Street Winston Salem, NC 27105
(Forsyth County) 704-305-9066
Page: 42 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2505 Court Drive Gastonia, NC 28054
(Gaston County) 704-305-9066
107 West Cemetery Street Salisbury, NC 28144
(Rowan County) 704-305-9066
915 South Main St Suite G Laurinburg, NC 28352
(Scotland County) 704-305-9066
805 Tiffany Boulevard Rocky Mount, NC 27804
(Nash County) 704-305-9066
311 Mcbee Street Lincolnton, NC 28092
(Lincoln County) 704-305-9066
626 S Madison Street Whiteville, NC 28472
(Columbus County) 704-305-9066
917 First Street Shelby, NC 28150
(Cleveland County) 704-305-9066
10666 Cleveland Rd Garner, NC 27529
(Johnston County) 704-305-9066
10590 Cleveland Rd Garner, NC 27529
(Johnston County) 704-305-9066
2563 Cornwallis Rd Garner, NC 27529
(Johnston County) 704-305-9066
3000 Brices Creek Rd New Bern, NC 28562
(Craven County) 704-305-9066
300 North 7th St Smithfield, NC 27577
(Johnston County) 704-305-9066
505 W Blanche St Pine Level, NC 27568
(Johnston County) 704-305-9066
5260 Pineview Drive Winston Salem, NC 27105
(Forsyth County) 704-305-9066
1002 Dogwood Drive Zebulon, NC 27597
(Wake County) 704-305-9066
350 E Holding Avenue Wake Forest, NC 27587
(Wake County) 704-305-9066
232 High House Rd Cary, NC 27513
(Wake County) 704-305-9066
130 N Judd Parkway Fuquay Varina, NC 27526
(Wake County) 704-305-9066
401 E Whitakermill Rd Raleigh, NC 27608
(Wake County) 704-305-9066
201 N Eugene Street Greensboro, NC 27401
(Guilford County) 704-305-9066
5700 Executive Center Drive Suite 110 Charlotte, NC 28212
(Mecklenburg County) 704-305-9066
Page: 43 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
820 Grimes Blvd Lexington, NC 27292
(Davidson County) 704-305-9066
2003 Godwin Avenue Lumberton, NC 28358
(Robeson County) 704-305-9066
217 George Street Four Oaks, NC 27524
(Johnston County) 704-305-9066
2046 Asheboro School Rd Asheboro, NC 27203
(Randolph County) 704-305-9066
Moores House
(Medicaid)
Ages:
Services:
3108 Dearborn Drive Durham, NC 27704
(Durham County) 919-632-9219
More Than Conquerors Youth
Center, Inc.
(Medicaid)
Ages:
Services:
408 East E Street Butner, NC 27509
(Granville County) 919-575-0746 www.mtcyouthcenter.com
Morgan Support Services
(Medicaid) Ages:
Services: IDD
Supportive Employment
500 Spring Garden St Greensboro, NC 27401
(Caswell County) 336-323-2870
Multicultural Resources Center,
Inc.
(State) Ages:
Services:
Residential Services
249 Joyce Lane Raeford, NC 28376
(Hoke County) 910-864-5758
980 Kennesaw Drive Fayetteville, NC 28314
(Cumberland County) 910-864-5758
Multi-Therapeutic Services, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
8380 Chevel Street Clemmons, NC 27012
(Davidson County) 336-778-2520
2052 Brooklyn Avenue Ramseur, NC 27316
(Randolph County) 336-778-2520
1517 Oglethorpe Ct Fayetteville, NC 28303
(Cumberland County) 336-813-0723
1128 Paddington Place Fayetteville, NC 28314
(Cumberland County) 336-778-2520
Murchison Residential Corporation (Medicaid)
Respite
Ages:
Services: IDD
533 Texanna Way Holly Springs, NC 27540
(Wake County) 919-557-6712 www.murchisonresidential.com
Page: 44 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Murdoch Developmental Center
(Medicaid) Ages:
Residential Services
Services: IDD
1600 E C Street Butner, NC 27509
(Granville County)
My B.R.O.T.H.E.R.S House, Inc.
(Medicaid) Ages:
Services:
Child Residential Services
12219 Windy Wood Court Charlotte, NC 28273
(Mecklenburg County) 704-532-4770
Myrover Reese Fellowship Homes
Inc
(State) Ages:
Services:
Residential Services
560 Wilkes Road Fayetteville, NC 28306
(Cumberland County)
613 Quality Road Fayetteville, NC 28306
(Cumberland County)
National Mentor Healthcare, Llc
(Medicaid; State) Ages:
Services: IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Residential Services; Respite
3125 Poplarwood Court Raleigh, NC 27604
(Wake County)
www.nc-mentor.com
3125 Poplarwood Ct Suite 300 Raleigh, NC 27604
(Wake County) 919-790-8580 www.nc-mentor.com
351 Wagoner Drive Suite 175 Fayetteville, NC 28303
(Cumberland County)
www.nc-mentor.com
Nature's Reflections, Llc
(Medicaid)
Ages:
Services:
1007 Broad Street Durham, NC 27705
(Durham County) 919-477-2728 www.naturesreflectionsllc.com
Neuse Enterprises, Inc
(State) Ages:
I/DD Supports
Services: IDD
3800 Commerce Dr Kinston, NC 28504
(Lenoir County)
3800 Commerce Drive Kinston, NC 28504
(Lenoir County) 252-523-0817
New Beginnings Of Nc, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
100 Westlake Rd Suite 102 Fayetteville, NC 28305
(Cumberland County) 910-286-3821 www.nbnc.org
3717 Florida Drive Fayetteville, NC 28311
(Cumberland County) 910-286-3821 www.nbnc.org
4280 Saubranch Hill St Raleigh, NC 27616
(Wake County) 910-286-3821 www.nbnc.org
Page: 45 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
New Destinations, Inc.
(State) Ages:
Services:
Residential Services
4710 Arbor Rd Fayetteville, NC 28311
(Cumberland County)
3410 Miracle Lane Fayetteville, NC 28311
(Cumberland County) 919-773-2706
1132 Camden Rd Fayetteville, NC 28306
(Cumberland County)
1132 Camden Road Fayetteville, NC 28306
(Cumberland County)
1524 Southwood Drive Durham, NC 27707
(Durham County)
409 Ebon Road Durham, NC 27713
(Durham County)
1524 Southwood Drive Durham, NC 27707
(Durham County)
New Directions Group Care
Management, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
138 Memory Plaza Whiteville, NC 28472
(Columbus County) 910-640-1737
605 Nolan Avenue Whiteville, NC 28472
(Columbus County) 910-640-1737
220 E. Columbus Street Whiteville, NC 28472
(Columbus County) 910-640-1737
6089 Hinson Crossroads Fair Bluff, NC 28439
(Columbus County) 910-640-1737
225 Honey Hill Road Hallsboro, NC 28442
(Columbus County) 910-640-1737
1080 Main Street Fair Bluff, NC 28439
(Columbus County) 910-640-1737
New Hope Management Service
(Medicaid)
Ages:
Services:
5834 Finestra Way Raleigh, NC 27610
(Wake County) 919-779-9469
New Outlook...Second Chance, Inc. (Medicaid) Ages:
Assessment
Services:
1005 Broad Street Durham, NC 27705
(Durham County) 919-682-4771
New Possibilities Home For
Children, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
813 Trail One Burlington, NC 27215
(Alamance County) 336-261-3427
Page: 46 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
North Carolina Recovery Support
Services
(Medicaid; State) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services; SA
Comprehensive Outpatient Treatment; SA Intensive Outpatient
Program
1100 Navaho Dr suite 125 Raleigh, NC 27609
(Wake County) 919-431-9874 www.northcarolinarecovery.com
309 W Millbrook Rd Raleigh, NC 27609
(Wake County) 919-431-9874 www.northcarolinarecovery.com
442 E. Main St Clayton, NC 27520
(Johnston County) 919-431-9874 www.northcarolinarecovery.com
Nova, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
2002 A-B Shackleford Road Kinston, NC 28504
(Lenoir County) 252-233-0491 www.novabehavioralhealthcare.com
2002 D-E Shackleford Road Kinston, NC 28504
(Lenoir County) 919-344-2541 www.novabehavioralhealthcare.com
2002 G Shackleford Road Kinston, NC 28504
(Lenoir County) 919-344-2541 www.novabehavioralhealthcare.com
2307 Norwood Avenue Goldsboro, NC 27534
(Wayne County) 919-344-2541 www.novabehavioralhealthcare.com
Nova-Ic, Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Intensive In-Home Therapy; Psychiatric Services; Residential
Services
2307 Norwood Avenue Suite A Goldsboro, NC 27534
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
3801 Us Highway 117 N Goldsboro, NC 27530
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
195 Airport Road Goldsboro, NC 27530
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
1509 Holly Street Goldsboro, NC 27530
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
405 West Washington Street La Grange, NC 28551
(Lenoir County) 919-736-0009
www.novabehavioralhealthcare.com6006439
119 Rones Chapel Road Mount Olive, NC 28365
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
Page: 47 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
135 Daughtry Field Road Mount Olive, NC 28365
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
2510 Norwood Avenue Goldsboro, NC 27534
(Wayne County) 919-736-0009
www.novabehavioralhealthcare.com6006439
407 West Washington Street La Grange, NC 28551
(Lenoir County) 919-736-0009
www.novabehavioralhealthcare.com6006439
1329-D North Brightleaf Blvd. Smithfield, NC 27577
(Johnston County) 919-736-0009
www.novabehavioralhealthcare.com6006439
Nuvizions, Llc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
101 Main Street West Ahoskie, NC 27910
(Hertford County) 252-332-2297 www.nuvionsllc.com
O'Berry Neuromedical Treatment
Center
(Medicaid) Ages:
Residential Services
Services: IDD
400 Old Smithfield Rd. Goldsboro, NC 27530
(Wayne County)
October Road, Inc.
(Medicaid) Ages:
Services:
Assertive Community Treatment
525 Cascade St Mars Hill, NC 28754
(Madison County) 858-350-1000
Oe Enterprises, Inc.
(Medicaid; State) Ages:
Supportive Employment
Services: IDD
348 Elizabeth Brady Road Hillsborough, NC 27278
(Orange County) 919-732-8124 www. oeenterprises.org
1804 Martin Luther King Expressway, Suite 111 Durham, NC 27707
(Durham County) 919-732-8124 www. oeenterprises.org
Omni Visions, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Innovations Services; Residential
Services; Respite; Supportive Employment
3739 National Drive Suite 220 Raleigh, NC 27612
(Wake County)
www.omnivisions.com
1325 Morganton Rd Fayetteville, NC 28305
(Cumberland County)
www.omnivisions.com
2430 South Church Street Suite A Burlington, NC 27215
(Alamance County)
www.omnivisions.com
2303-A Norwood Ave. Goldsboro, NC 27530
(Wayne County)
www.omnivisions.com
Page: 48 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
One Love Periodic Services, Inc.
(Medicaid) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Psychiatric Services
110 S. Sterling Street Morganton, NC 28655
(Burke County) 704-537-9551
121 Wortham St Ste G Wadesboro, NC 28170
(Anson County) 704-537-9551
Onecare, Inc.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Day Treatment; Psychiatric Services; Psychosocial
Rehabilitation; SA Comprehensive Outpatient Treatment
150-A North White Street Wake Forest, NC 27587
(Wake County) 919-556-4443
12316 Hampton Highway Drive Suite 101 Wake Forest, NC 27587
(Wake County) 919-556-4443
P & W Group, Llc
(Medicaid) Ages:
Services: IDD
Supportive Employment
215 Horner Street Henderson, NC 27536
(Vance County) 252-436-9543
Parker Investments, Ltd.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
513 Mechanic Street Fayetteville, NC 28301
(Cumberland County) 910-323-2575
811 Lakeland Street Fayetteville, NC 28301
(Cumberland County) 910-323-2575
336 Moore Street Fayetteville, NC 28301
(Cumberland County) 910-323-2575
334 Moore Street Fayetteville, NC 28301
(Cumberland County) 910-323-2575
338 Moore Street Fayetteville, NC 28301
(Cumberland County) 910-323-2575
Pathways For People, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
108 New Edition Court Cary, NC 27511
(Wake County) 919-274-7281 www.pathwaysforpeople.org
9021 Sweetbrook Lane Apt. 108 Raleigh, NC 27615
(Wake County) 919-274-7281 www.pathwaysforpeople.org
203 New Edition Court Cary, NC 27511
(Wake County) 919-274-7281 www.pathwaysforpeople.org
1126 Horseshoe Rd Durham, NC 27703
(Durham County) 919-274-7281 www.pathwaysforpeople.org
Page: 49 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Pathways To Life, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Intensive In-Home Therapy; Multi Systemic Therapy;
Psychiatric Services
1200 E. Firetower Road Greenville, NC 27858
(Pitt County) 252-695-0269 www.pwstolife.com
2314 S. Miami Boulevard Suite 154 Durham, NC 27703
(Durham County) 252-695-0269 www.pwstolife.com
1420-A S. Pollock Street Selma, NC 27576
(Johnston County) 252-695-0269 www.pwstolife.com
Patterson Home Care Services Inc. (Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
6331 Rannock Drive Fayetteville, NC 28304
(Cumberland County) 910-527-8427
Pearl's Angel Care Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Innovations Services; Psychiatric Services; Respite;
Supportive Employment
1423 Grandview Drive Fayetteville, NC 28314
(Cumberland County) 910-257-6060
1545 Stackhouse Drive Fayetteville, NC 28314
(Cumberland County) 910-257-6060
People Helping People Of North
Carolina, Llc
(Medicaid) Ages:
Services:
Assertive Community Treatment
1530 Martin Street Suite 105 Winston Salem, NC 27103
(Forsyth County) 336-760-1330
Person County Group Homes Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
380 Jerry Dixon Rd Leasburg, NC 27291
(Caswell County) 336-599-9421
202 N Main Street-Po Box 721 Roxboro, NC 27573
(Person County) 336-599-9421
112 N Main Street Roxboro, NC 27573
(Person County) 336-599-9421
222 Winhaven Street Roxboro, NC 27573
(Person County) 336-599-9421
Philip House Therapeutic Services, (Medicaid) Ages:
Services: IDD
Inc.
Innovations Services; Respite; Supportive Employment
5401 Orchard Pond Drive Raleigh, NC 27609
(Wake County) 919-395-5227
Page: 50 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Php Of Nc, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
1500 E. Club Blvd. Durham, NC 27704
(Durham County) 919-220-0021 www.phpofncinc.com
1525 Nixon Street Durham, NC 27707
(Durham County) 919-220-0021 www.phpofncinc.com
1712 Sherman Ave. Durham, NC 27707
(Durham County) 919-220-0021 www.phpofncinc.com
2415 Winburn Durham, NC 27703
(Durham County) 919-220-0021 www.phpofncinc.com
17 Hidden Meadows Durham, NC 27704
(Durham County) 919-220-0021 www.phpofncinc.com
3611 Hope Valley Rd Durham, NC 27707
(Durham County) 919-220-0021 www.phpofncinc.com
1312 Caribou Crossing Durham, NC 27713
(Durham County) 919-220-0021 www.phpofncinc.com
700 B Pony Rd Zebulon, NC 27597
(Wake County) 919-375-4702 www.phpofncinc.com
Port Human Services
(Medicaid) Ages:
Day Treatment
Services:
2245 Stantonsburg Road, Suite P Greenville, NC 27834
(Pitt County) 252-752-0483
116 Health Dr Greenville, NC 27834
(Pitt County) 252-830-7560
314 Progress Drive Extension Burgaw Burgaw, NC 28425
(Pender County) 252-752-0483
206 North Pine Street Aberdeen, NC 28315
(Moore County) 252-752-0483
Positive Influences, Inc.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services; Psychosocial Rehabilitation
2109 St. Andrew Street suite 14 Tarboro, NC 27886
(Edgecombe County) 252-641-9990 www.positiveinfluencesinc.com
2200 N. Main Street Tarboro, NC 27886
(Edgecombe County) 252-641-9990 www.positiveinfluencesinc.com
Positive Progress Services Corp.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services; Psychosocial Rehabilitation
305 E. 3rd Street Pembroke, NC 28372
(Robeson County) 910-521-7461 [email protected]
305 E. 3rd Street Suite 5 Pembroke, NC 28372
(Robeson County) 910-521-7461 [email protected]
Page: 51 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
527 Woods Road Pembroke, NC 28372
(Robeson County) 910-521-7461 [email protected]
110 E. 2nd Avenue Red Springs, NC 28377
(Robeson County) 910-521-7461 [email protected]
Precious Haven Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services
2936 Breezewood Avenue Suite 100 Fayetteville, NC 28303
(Cumberland County) 910-868-6092 www.precioushaveninc.com
532 Wayland Drive Fayetteville, NC 28314
(Cumberland County) 910-868-6092 www.precioushaveninc.com
6033 Concho Court Fayetteville, NC 28303
(Cumberland County) 910-868-6092 www.precioushaveninc.com
181 Bostic Road Rockfish, NC 28376
(Hoke County) 910-868-6092 www.precioushaveninc.com
Preferred Care Inc.
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
318 Harris Avenue Raeford, NC 28376
(Hoke County) 910-565-2377 www.preferredcareinc.org
Premier Healthcare Services, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
3620 Legion Road Hope Mills, NC 28348
(Cumberland County) 877-472-2302 www.ncprtf.com
1892 Turnpike Road Raeford, NC 28376
(Hoke County) 877-472-2302 www.ncprtf.com
Professional Family Care Services,
Inc
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services; Psychosocial Rehabilitation;
Respite; Supportive Employment
1012 Pamalee Dr Fayetteville, NC 28303
(Cumberland County) 910-485-0085 www.pfcsnc.com
111 Lamon Street Suite 114 Fayetteville, NC 28301
(Cumberland County) 910-485-0085 www.pfcsnc.com
122 Orchard Crest Circle Sanford, NC 27332
(Lee County) 910-485-0085 www.pfcsnc.com
1016 Patrick Drive Fayetteville, NC 28314
(Cumberland County) 910-485-0085 www.pfcsnc.com
19 Susie Circle Cameron, NC 28326
(Harnett County) 910-485-0085 www.pfcsnc.com
Page: 52 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Psychotherapeutic Community
Service
(State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
201 W. Main St Durham, NC 27701
(Durham County) 919-530-8888
201 W Main Street Durham, NC 27701
(Durham County) 919-530-8888
Psychotherapeutic Services Inc.
(Medicaid) Ages:
Services: MH / SA
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Crisis Services;
Psychiatric Services; Psychosocial Rehabilitation
1159 Huffman Mill Road Burlington, NC 27215
(Alamance County) 336-538-6990
www.pschotherapeuticservices.com
1990 F Allen Road Greenville, NC 27834
(Pitt County) 336-538-6990 www.pschotherapeuticservices.com
3 Centerview Drive Suite 150 Greensboro, NC 27407
(Guilford County) 336-538-6990 www.pschotherapeuticservices.com
405 Rudd Street Burlington, NC 27217
(Alamance County) 336-538-6990
www.pschotherapeuticservices.com
201 West Main Street Suite B16 Durham, NC 27701
(Durham County) 336-538-6990 www.pschotherapeuticservices.com
Q-1 Clinical Consultants, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
1011 W. Williams St. Suite 102 Apex, NC 27502
(Wake County) 919-212-3900
120 Jethro Circle Smithfield, NC 27577
(Johnston County) 919-212-3900
1065 Lee Road Clayton, NC 27520
(Johnston County) 919-212-3900
12749 Buck Road Middlesex, NC 27557
(Nash County) 919-212-3900
326 Dogwood Creek Place Fuquay Varina, NC 27526
(Wake County) 919-212-3900
210 Susan Drive Garner, NC 27529
(Wake County) 919-212-3900
5209 Nautical Lane Raleigh, NC 27610
(Wake County) 919-212-3900
7313 Fox Road Raleigh, NC 27616
(Wake County) 919-212-3900
Page: 53 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
5304 Thistlebrook Court Raleigh, NC 27610
(Wake County) 919-212-3900
510 Windcrest Drive Apex, NC 27502
(Wake County) 919-212-3900
2717 Summer Stream Drive Raleigh, NC 27610
(Wake County) 919-212-3900
504 Thistlegate Trail Raleigh, NC 27610
(Wake County) 919-212-3900
2625 Mary Marvin Trail Fuquay Varina, NC 27526
(Wake County) 919-212-3900
2216 Angier Road Fuquay Varina, NC 27526
(Wake County) 919-212-3900
808 Creech Road Garner, NC 27529
(Wake County) 919-212-3900
7205 Jonathan Drive Wendell, NC 27591
(Wake County) 919-212-3900
7016 Beaverwood Drive Raleigh, NC 27616
(Wake County) 919-212-3900
1002 Battlement Way Knightdale, NC 27545
(Wake County) 919-212-3900
711 Town Square Wendell, NC 27591
(Wake County) 919-212-3900
1208 Armstrong Circle Raleigh, NC 27610
(Wake County) 919-212-3900
4323 Viewmont Drive Raleigh, NC 27610
(Wake County) 919-212-3900
106 Lord Berkley Road Raleigh, NC 27610
(Wake County) 919-212-3900
1117 Alston Bridge Road Siler City, NC 27344
(Chatham County) 919-212-3900
1109 South Alston Avenue Durham, NC 27701
(Durham County) 919-212-3900
5412 Swordsman Court Knightdale, NC 27545
(Wake County) 919-212-3900
5342 Us Highway 301 Selma, NC 27576
(Johnston County) 919-212-3900
4800 Elmhurst Ridge Raleigh, NC 27616
(Wake County) 919-212-3900
7112 Outrigger Drive Wendell, NC 27591
(Wake County) 919-212-3900
300 Will Rd Middlesex, NC 27557
(Nash County) 919-212-3900
Page: 54 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
5301 Peacenest Dr Raleigh, NC 27610
(Wake County) 919-212-3900
3012 Varcroft Rd Raleigh, NC 27610
(Wake County) 919-212-3900
4009 Memory Lane Raleigh, NC 27610
(Wake County) 919-212-3900
1232 Penselwood Drive Raleigh, NC 27604
(Wake County) 919-212-3900
3756 Votive Lane Raleigh, NC 27604
(Wake County) 919-212-3900
1014 Arendell Avenue Zebulon, NC 27597
(Wake County) 919-212-3900
36 Wentworth Place Angier, NC 27501
(Harnett County) 919-212-3900
3000 Twinfield Ct Raleigh, NC 27610
(Wake County) 919-212-3900
401 Moline Street Durham, NC 27707
(Durham County) 919-212-3900
8294 Mcguire Dr Raleigh, NC 27616
(Wake County) 919-212-3900
12 Cornflower Dr Wendell, NC 27591
(Wake County) 919-212-3900
5335 Carnelian Dr Raleigh, NC 27610
(Wake County) 919-212-3900
927 Shepard School Rd Zebulon, NC 27597
(Wake County) 919-212-3900
1220 Robinson Ave Raleigh, NC 27610
(Wake County) 919-212-3900
1010 Delta River Way Knightdale, NC 27545
(Wake County) 919-212-3900
5342 Us Highway 301 North Micro, NC 27555
(Johnston County) 919-212-3900
7017 Carfu Place Wendell, NC 27591
(Wake County) 919-212-3900
112 Cell Tower Ct Smithfield, NC 27577
(Johnston County) 919-212-3900
4330 Grandiflora Lane Apt 107 Raleigh, NC 27607
(Wake County) 919-212-3900
3302 New Bern Ridge Apt 302 Raleigh, NC 27610
(Wake County) 919-212-3900
2304 Havering Place Raleigh, NC 27604
(Wake County) 919-212-3900
Page: 55 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3312 Pomegranite Drive Raleigh, NC 27616
(Wake County) 919-212-3900
4418 Karlbrook Ln Raleigh, NC 27616
(Wake County) 919-212-3900
5508 Simmons Drive Garner, NC 27529
(Wake County) 919-212-3900
5505 Creekridge Lane Raleigh, NC 27607
(Wake County) 919-212-3900
1500 Nine Iron Way Apt 103 Raleigh, NC 27603
(Wake County) 919-212-3900
1301 Southgate Drive Raleigh, NC 27610
(Wake County) 919-212-3900
2621 Garden Knoll Raleigh, NC 27614
(Wake County) 919-212-3900
4006 Beaufain Street Raleigh, NC 27604
(Wake County) 919-212-3900
3105 Vico Terrace Raleigh, NC 27610
(Wake County) 919-212-3900
Qc, Inc.
(Medicaid; State) Ages:
Services: IDD
Innovations Services; Residential Services; Respite; Supportive
Employment
4020 Katherine Ct. Winston Salem, NC 27106
(Forsyth County) 919-535-8687 www.qcincorporated.com
139 E. Chatham Street Cary, NC 27511
(Wake County) 919-535-8687 www.qcincorporated.com
2409 Dunbrook Court Raleigh, NC 27604
(Wake County) 919-535-8687 www.qcincorporated.com
165 Mickleson Court Raleigh, NC 27603
(Wake County) 919-535-8687 www.qcincorporated.com
4823 Shallowbrook Trail Raleigh, NC 27604
(Wake County) 919-535-8687 www.qcincorporated.com
701 Pepperstone Court Fuquay Varina, NC 27526
(Wake County) 919-535-8687 www.qcincorporated.com
7201 Starchase Lane Fuquay Varina, NC 27526
(Wake County) 919-535-8687 www.qcincorporated.com
25 Chase Drive Youngsville, NC 27596
(Franklin County) 919-535-8687 www.qcincorporated.com
2028 Ranchmill Road Raleigh, NC 27610
(Wake County) 919-535-8687 www.qcincorporated.com
Page: 56 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Quality Care Solutions, Inc.
(Medicaid) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Intensive In-Home Therapy;
Psychiatric Services
1306 Paddock Dr suite E-100 Raleigh, NC 27609
(Wake County)
1016 Broad Street Durham, NC 27705
(Durham County) 919-790-8606
Quest Provider Services, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
2326 E. Wt Harris Blvd. Charlotte, NC 28213
(Mecklenburg County) 704-537-4730 www.questnc.com
R. J. Blackley Adatc
(Medicaid)
Ages:
Services:
100 H Street Butner, NC 27509
(Granville County)
Rainbow 66 Storehouse, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
1000 S. Main St. Ste. #11 Laurinburg, NC 28352
(Scotland County)
706 Rigsbee Avenue Durham, NC 27701
(Durham County) 919-686-0165
Rainbow Of Sunshine, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
307 Cedarwood Street Spring Lake, NC 28390
(Cumberland County) 910-496-0756
4661 Pennystone Drive Fayetteville, NC 28306
(Cumberland County) 910-496-0756
Recovery Connections Of Durham,
Inc.
(State) Ages:
Services: SA
Adult Residential Services; Residential Services
2203 Elmwood Avenue Durham, NC 27707
(Durham County) 919-638-4775
2913 Wadsworth Avenue Durham, NC 27707
(Durham County) 919-638-4775
Renu Life Extended
(State) Ages:
Services:
Residential Services
501 Forest Hill Drive P O Box 1017 Goldsboro, NC 27534
(Wayne County)
501 Forest Hills Drive Goldsboro, NC 27534
(Wayne County)
Page: 57 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Renu Life, Llc
(Medicaid; State) Ages:
Services: MH / IDD
Innovations Services; Psychosocial Rehabilitation; Residential
Services; Respite; Supportive Employment
501 Forest Hill Drive Goldsboro, NC 27533
(Wayne County) 919-734-0266
304 South Pineview Avenue Goldsboro, NC 27530
(Wayne County) 919-734-0266
802 South Taylor Street Goldsboro, NC 27530
(Wayne County) 919-734-0266
103 Lakeview Drive Goldsboro, NC 27530
(Wayne County) 919-734-0266
102 Tinderwood Drive Goldsboro, NC 27534
(Wayne County) 919-734-0266
106 Us Hwy. 117 Bypass South Goldsboro, NC 27530
(Wayne County) 919-734-0266
Residential Adolescent Adult
Services And Training, Inc.Brooklyn's House
(Medicaid)
Ages:
Services:
304 W. Millbrook Road Suite F Raleigh, NC 27609
(Wake County) 919-329-2630 [email protected]
4717 Windbreak Drive Raleigh, NC 27616
(Wake County) 919-696-6076 [email protected]
Residential Services, Inc
(Medicaid; State) Ages:
Services: IDD
Innovations Services; Residential Services; Supportive
Employment
111 Providence Road Chapel Hill, NC 27514
(Orange County)
www.rsi-nc.org
111 Providence Rd Chapel Hill, NC 27514
(Orange County)
www.rsi-nc.org
1003 West Main Street Carrboro, NC 27510
(Orange County)
www.rsi-nc.org
1508 Ephesus Church Road Chapel Hill, NC 27517
(Orange County)
www.rsi-nc.org
1543 Ferrell Road Chapel Hill, NC 27517
(Orange County)
www.rsi-nc.org
203 Oleander Road Carrboro, NC 27510
(Orange County)
www.rsi-nc.org
102 Quail Roost Drive Carrboro, NC 27510
(Orange County)
www.rsi-nc.org
901 Shadylawn Road Chapel Hill, NC 27514
(Orange County)
www.rsi-nc.org
Page: 58 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
6310 Mt. Hermon Church Road Durham, NC 27705
(Durham County)
www.rsi-nc.org
106 Aberdeen Ct. Carrboro, NC 27510
(Orange County)
www.rsi-nc.org
6308 Mt. Hermon Church Road Durham, NC 27705
(Durham County)
www.rsi-nc.org
6310 Mt Hermon Church Rd Durham, NC 27705
(Orange County)
www.rsi-nc.org
111 Silo Drive Chapel Hill, NC 27514
(Orange County)
www.rsi-nc.org
Residential Support Services
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Residential Services
3820 Merton Dr #110 Raleigh, NC 27609
(Wake County) 919-787-1214
9401-C Prince George Lane Raleigh, NC 27615
(Wake County) 919-787-1214
3416 Atlantic Avenue Raleigh, NC 27604
(Wake County) 919-787-1214
408 Hailey Drive Raleigh, NC 27606
(Wake County) 919-787-1214
8811-103 Carriage Lantern Lane Raleigh, NC 27615
(Wake County) 919-787-1214
2739 Avent Ferry Rd Raleigh, NC 27606
(Wake County) 919-787-1214
11413 Leesville Rd Raleigh, NC 27613
(Wake County) 919-787-1214
300 E Millbrook Rd Raleigh, NC 27609
(Wake County) 919-787-1214
185 Wind Chime Court Suite 101 Raleigh, NC 27615
(Wake County) 919-787-1214
Resources For Human
Development
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Residential Services
311 S. Lasalle St Apt. 47i Durham, NC 27701
(Durham County) 919-755-1218
2909 Rannock Court Raleigh, NC 27604
(Wake County) 919-755-1218
1503 Crest Dr Ste 201 Raleigh, NC 27606
(Wake County) 919-755-1218
3805 Cascade Court Raleigh, NC 27604
(Wake County) 919-755-1218
Page: 59 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
1940 Ranch Mill Circle Raleigh, NC 27610
(Wake County) 919-755-1218
3253 Calumet Drive Raleigh, NC 27610
(Wake County) 919-755-1218
3516 Lytham Place Raleigh, NC 27604
(Wake County) 919-755-1218
311 South Lasalle St Apt 25f Durham, NC 27705
(Durham County) 919-755-1218
5519 Marthonna Way Raleigh, NC 27616
(Wake County) 919-755-1218
Resources For Seniors, Inc.
(Medicaid)
Ages:
Services:
1110 Navaho Drive suite 400 Raleigh, NC 27609
(Wake County) 919-713-1534 www.resourcesforseniors.com
200 High Meadow Drive Cary, NC 27511
(Wake County) 919-713-1534 www.resourcesforseniors.com
5124 Departure Drive Suite 101 Raleigh, NC 27616
(Wake County) 919-713-1534 www.resourcesforseniors.com
201 Methodist Drive Garner, NC 27529
(Wake County) 919-713-1534 www.resourcesforseniors.com
323 Lake Drive Wendell, NC 27591
(Wake County) 919-713-1534 www.resourcesforseniors.com
110 Maury O'Dell Place Cary, NC 27513
(Wake County) 919-713-1534 www.resourcesforseniors.com
Restoration Family Services, Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Respite; SA
Intensive Outpatient Program; Supportive Employment
15 Noble St Smithfield, NC 27577
(Johnston County) 919-938-9502 www.restorethefamily.org
Rha Health Services, Inc.
(Medicaid; State) Ages:
Services: MH / SA / IDD
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Psychological
Testing; Psychosocial Rehabilitation; Residential Services;
Respite; Supportive Employment
17 Church Street Asheville, NC 28801
(Buncombe County) 828-232-6844 www.rhahealthservices.org
2003 Godwin Ave Ste A Lumberton, NC 28358
(Robeson County) 828-232-6844 www.rhahealthservices.org
190 Rawls Rd Angier, NC 27501
(Harnett County) 828-232-6844 www.rhahealthservices.org
Page: 60 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
300 West "j Erwin, NC 28339
(Harnett County) 828-232-6844 www.rhahealthservices.org
308 Bridget Way Creedmoor, NC 27525
(Granville County) 828-232-6844 www.rhahealthservices.org
3101 Mossdale Avenue Durham, NC 27707
(Durham County) 828-232-6844 www.rhahealthservices.org
109 South Moore Drive Roxboro, NC 27574
(Person County) 828-232-6844 www.rhahealthservices.org
2248 Wingate Road Fayetteville, NC 28304
(Cumberland County) 828-232-6844 www.rhahealthservices.org
3400 Melrose Ridge Ct #311 Raleigh, NC 27603
(Wake County) 828-232-6844 www.rhahealthservices.org
4808 Whitehall Ave Raleigh, NC 27604
(Wake County) 828-232-6844 www.rhahealthservices.org
501 South Wall Street Ste C Benson, NC 27504
(Johnston County) 828-232-6844 www.rhahealthservices.org
910 N Durham Street Creedmoor, NC 27522
(Granville County) 828-232-6844 www.rhahealthservices.org
939 Whitcomb Dr Fayetteville, NC 28311
(Cumberland County) 828-232-6844 www.rhahealthservices.org
113 John Street Laurinburg, NC 28352
(Scotland County) 828-232-6844 www.rhahealthservices.org
3010 Falstaff Rd Raleigh, NC 27610
(Wake County) 828-232-6844 www.rhahealthservices.org
132 Commercial Drive Suite 120 Forest City, NC 28043
(Rutherford County) 828-232-6844 www.rhahealthservices.org
1201 Beard St Salisbury, NC 28144
(Rowan County) 828-232-6844 www.rhahealthservices.org
211 Roseman Lane Cleveland, NC 27013
(Iredell County) 828-232-6844 www.rhahealthservices.org
407 East Bladen Street Bladenboro, NC 28320
(Bladen County) 828-232-6844 www.rhahealthservices.org
Rha Howell Care Center
(Medicaid) Ages:
Residential Services
Services: IDD
3738 Howell Day Care Center Rd La Grange, NC 28551
(Lenoir County) 252-566-9011 www.rhahowell.org
1609 Westridge Road Greensboro, NC 27410
(Guilford County) 252-566-9011 www.rhahowell.org
11950 Howell Center Drive Charlotte, NC 28227
(Mecklenburg County) 252-566-9011 www.rhahowell.org
5709 Us 70 East La Grange, NC 28551
(Lenoir County) 252-566-9011 www.rhahowell.org
Page: 61 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
500 Sean Drive Greenville, NC 27834
(Pitt County) 252-566-9011 www.rhahowell.org
4206 W. Friendly Avenue Greensboro, NC 27410
(Guilford County) 252-566-9011 www.rhahowell.org
140 Pirates Road New Bern, NC 28562
(Craven County) 252-566-9011 www.rhahowell.org
1307 Westridge Road Greensboro, NC 27410
(Guilford County) 252-566-9011 www.rhahowell.org
3845 Robins Nest Road La Grange, NC 28551
(Lenoir County) 252-566-9011 www.rhahowell.org
3921 Robins Nest Road La Grange, NC 28551
(Lenoir County) 252-566-9011 www.rhahowell.org
5840 Greenwood Avenue La Grange, NC 28551
(Lenoir County) 252-566-9011 www.rhahowell.org
Rha/North Carolina Mr, Inc
(Medicaid) Ages:
Residential Services
Services: IDD
17 Church St Asheville, NC 28801
(Buncombe County) 828-232-6844 www.rhahealthservices.org
105 Heath Avenue Smithfield, NC 27577
(Johnston County) 828-232-6844 www.rhahealthservices.org
1070 Packing Plant Rd. Smithfield, NC 27577
(Johnston County) 828-232-6844 www.rhahealthservices.org
214 Canterbury Road Smithfield, NC 27577
(Johnston County) 828-232-6844 www.rhahealthservices.org
100 Erwin Avenue Erwin, NC 28339
(Harnett County) 828-232-6844 www.rhahealthservices.org
410 Mineral Springs Rd. Durham, NC 27703
(Durham County) 828-232-6844 www.rhahealthservices.org
202 West B Street Erwin, NC 28339
(Harnett County) 828-232-6844 www.rhahealthservices.org
1110 Nc 210 South Lillington, NC 27546
(Harnett County) 828-232-6844 www.rhahealthservices.org
2990 Reservation Road Aberdeen, NC 28315
(Moore County) 828-232-6844 www.rhahealthservices.org
342 Chandler Rd Durham, NC 27703
(Durham County) 828-232-6844 www.rhahealthservices.org
102 Dove Road Creedmoor, NC 27522
(Granville County) 828-232-6844 www.rhahealthservices.org
235 Fanjoy Drive Statesville, NC 28625
(Iredell County) 828-232-6844 www.rhahealthservices.org
450 Twin Oaks Rd. Statesville, NC 28625
(Iredell County) 828-232-6844 www.rhahealthservices.org
Page: 62 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
1 South Oak St. Brevard, NC 28712
(Transylvania County) 828-232-6844 www.rhahealthservices.org
5509 Dorsey Road Oxford, NC 27565
(Granville County) 828-232-6844 www.rhahealthservices.org
1800 Strathmore Drive Greensboro, NC 27410
(Guilford County) 828-232-6844 www.rhahealthservices.org
2600 Pleasant Ridge Road Summerfield, NC 27358
(Guilford County) 828-232-6844 www.rhahealthservices.org
214 Hollingswood Drive Statesville, NC 28625
(Iredell County) 828-232-6844 www.rhahealthservices.org
4795 Stanley Rd Durham, NC 27704
(Durham County) 828-232-6844 www.rhahealthservices.org
515 Lynn Road Durham, NC 27703
(Durham County) 828-232-6844 www.rhahealthservices.org
5713 Newton St. Hope Mills, NC 28348
(Cumberland County) 828-232-6844 www.rhahealthservices.org
414 Mineral Springs Rd. Durham, NC 27703
(Durham County) 828-232-6844 www.rhahealthservices.org
409 Old Farm Road Raeford, NC 28376
(Hoke County) 828-232-6844 www.rhahealthservices.org
2001 Southern Avenue Fayetteville, NC 28306
(Cumberland County) 828-232-6844 www.rhahealthservices.org
703 Stem Road Cree, NC 27522
(Granville County) 828-232-6844 www.rhahealthservices.org
105 Park Avenue Creedmoor, NC 27522
(Granville County) 828-232-6844 www.rhahealthservices.org
436 Mocksville Highway Statesville, NC 28625
(Iredell County) 828-232-6844 www.rhahealthservices.org
2101 Beauty St. Statesville, NC 28625
(Iredell County) 828-232-6844 www.rhahealthservices.org
208 Wildcat Road Deep Gap, NC 28618
(Watauga County) 828-232-6844 www.rhahealthservices.org
800 Wilmington Road Fayetteville, NC 28301
(Cumberland County) 828-232-6844 www.rhahealthservices.org
1802 Strickland Bridge Rd. Fayetteville, NC 28304
(Cumberland County) 828-232-6844 www.rhahealthservices.org
1818 Strickland Bridge Rd. Fayetteville, NC 28304
(Cumberland County) 828-232-6844 www.rhahealthservices.org
1793 Riverview Road Lincolnton, NC 28092
(Lincoln County) 828-232-6844 www.rhahealthservices.org
5972 &5812 Nc Hwy 71 North Maxton, NC 28364
(Robeson County) 828-232-6844 www.rhahealthservices.org
Page: 63 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
928 Magnolia Drive Aberdeen, NC 28315
(Moore County) 828-232-6844 www.rhahealthservices.org
6320 Hwy 152 East Rockwell, NC 28138
(Rowan County) 828-232-6844 www.rhahealthservices.org
404 Skeet Club Road Guilford, NC 27265
(Forsyth County) 828-232-6844 www.rhahealthservices.org
126 Robinhood Lane Aberdeen, NC 28315
(Moore County) 828-232-6844 www.rhahealthservices.org
Robeson Health Care Corporation
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Comprehensive Outpatient Treatment
302 East 3rd St Pembroke, NC 28372
(Robeson County) 910-521-2900 www.rhcc1.com
60 Commerce Plaza Pembroke, NC 28372
(Robeson County) 910-521-2900 www.rhcc1.com
309a East Wardell Drive Pembroke, NC 28372
(Robeson County) 910-521-2900 www.rhcc1.com
3362 Front Gate Drive Apt. 11 Greenville, NC 27834
(Pitt County) 910-521-2900 www.rhcc1.com
109 Cambridge Place Smithfield, NC 27577
(Johnston County) 910-521-2900 www.rhcc1.com
285 Camp Easter Road Lakeview, NC 28350
(Moore County) 910-521-2900 www.rhcc1.com
108 West Firetower Road Units E & F Winterville, NC 28590
(Pitt County) 910-521-2900 www.rhcc1.com
3750 Meadow View Road Suite A1 Lumberton, NC 28358
(Robeson County) 910-521-2900 www.rhcc1.com
Rouse's Group Home Ii, Inc
(Medicaid) Ages:
Services: IDD
Innovations Services
1921-C Boulevard St Greensboro, NC 27407
(Guilford County) 336-427-0609
Rusmed Consultants, Llc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
8250 Merriweather Circle Raleigh, NC 27616
(Wake County) 919-890-5569
308 C-1 West Millbrook Rd Raleigh, NC 27609
(Wake County) 919-890-5569
2817 Tobermory Lane Raleigh, NC 27606
(Wake County) 919-890-5569
2104 Winnie Place Raleigh, NC 27603
(Wake County) 919-890-5569
Page: 64 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2724 Blossom Rd Hope Mills, NC 28348
(Cumberland County) 919-890-5569
2705 Brighthaven Dr Raleigh, NC 27614
(Wake County) 919-890-5569
4125 Edgemont Rd Wendell, NC 27591
(Wake County) 919-890-5569
101 Valley Park Drive Knightdale, NC 27545
(Wake County) 919-890-5569
814 E Nchwy 54 Durham, NC 27713
(Durham County) 919-890-5569
S & T Wecare, Incorporated
(Medicaid) Ages:
Services:
Child Residential Services
501 Helen Street Fayetteville, NC 28303
(Cumberland County) 910-826-2273
6777 Candlewood Drive Fayetteville, NC 28314
(Cumberland County) 910-826-2273
S. Martin, Llc Dba Inner Wealth
Residential
(Medicaid) Ages:
Services:
Child Residential Services
209 Kindlewood Drive Durham, NC 27703
(Durham County) 919-201-1626
2 Isaacs Way Durham, NC 27703
(Durham County) 919-201-1626
Saguaro Group, Llc Dba Community (Medicaid) Ages:
Services: IDD
Innovations, Inc.
Innovations Services; Residential Services; Respite; Supportive
Employment
3210 Fairhill Drive Raleigh, NC 27612
(Wake County) 919-256-0824 www.triumphcares.com
912 Avent Ferry Road Holly Springs, NC 27540
(Wake County) 910-642-5697 www.triumphcares.com
739 Arthur Maddox Road Sanford, NC 27332
(Lee County) 919-256-0824 www.triumphcares.com
313 E. Brookwood Avenue Liberty, NC 27298
(Randolph County) 919-256-0824 www.triumphcares.com
704 Carolina Avenue Ahoskie, NC 27910
(Hertford County) 919-256-0824 www.triumphcares.com
904 Avent Ferry Road Holly Springs, NC 27540
(Wake County) 910-642-5697 www.triumphcares.com
5691 Mack Lineberry Rd Climax, NC 27233
(Guilford County) 919-256-0824 www.triumphcares.com
303 N Howard St Chadbourn, NC 28431
(Columbus County) 919-256-0824 www.triumphcares.com
Page: 65 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
36 Wentworth Place Angier, NC 27501
(Harnett County) 919-256-0824 www.triumphcares.com
Savin Grace, Llc
(Medicaid; State) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Respite
115 N 3rd St Smithfield, NC 27577
(Johnston County) 919-779-6595 www.savingracellc.net
562 Old Dam Rd Selma, NC 27576
(Johnston County) 919-779-6595 www.savingracellc.net
5533 Hwy 42 W, Suite A6 Garner, NC 27529
(Wake County) 919-779-6595 www.savingracellc.net
Sbh-Raleigh, Llc Dba Strategic
Behavioral Center - Garner
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
3200 Waterfield Dr. Garner, NC 27529
(Wake County) 910-371-2500
Sbh-Wilmington, Llc Dba Strategic
Behavioral Center
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
2050 Mercantile Drive Leland, NC 28451
(Brunswick County)
www.strategicbh.com
Securing Resources For
Consumers, Inc.
(Medicaid; State) Ages:
Services: MH / SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Psychosocial
Rehabilitation; Residential Services; Respite
3209 Yorktown Avenue suite 171 Durham, NC 27713
(Durham County) 919-405-2700 www.srfcinc.com
3008 Independence Avenue Durham, NC 27703
(Durham County) 919-405-2700 www.srfcinc.com
2209 Morehead Avenue Durham, NC 27707
(Durham County) 919-405-2700 www.srfcinc.com
318 Edwards Street Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
314 Edwards Street Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
316 Edwards Street Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
312 Edwards Street Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
320 Edwards Street Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
711 N Duke Street Apt 10 Durham, NC 27701
(Durham County) 919-405-2700 www.srfcinc.com
Page: 66 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3711-C University Drive Durham, NC 27707
(Durham County) 919-405-2700 www.srfcinc.com
1809 Collier Drive Durham, NC 27707
(Durham County) 919-405-2700 www.srfcinc.com
10 Meadowcrest Drive Durham, NC 27703
(Durham County) 919-405-2700 www.srfcinc.com
3606 University Drive Durham, NC 27707
(Durham County) 919-405-2700 www.srfcinc.com
Serenity Therapeutic Services, Inc
(Medicaid; State) Ages:
Services: IDD
Innovations Services; Residential Services; Supportive
Employment
406 North Wright Street Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
152 Sandspur Ct. Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
6213 Rockfish Road Hope Mills, NC 28348
(Cumberland County) 910-904-7147 www.serenityts.com
332 S. Main Street Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
158 Centipede Lane Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
207 S Stewart Street Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
541 Bunce Road Fayetteville, NC 28314
(Cumberland County) 910-904-7147 www.serenityts.com
10147 Rockfish Road Raeford, NC 28376
(Hoke County) 910-904-7147 www.serenityts.com
118 Shads Ford Blvd. Fayetteville, NC 28314
(Cumberland County) 910-904-7147 www.serenityts.com
Shinelight, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
Shinelight, Inc. -2825 Arlington Avenue Fayetteville, NC 28303
(Cumberland County) 910-257-6406 www.ganbt.com
6350 Hawfield Drive Fayetteville, NC 28303
(Cumberland County) 910-257-6406 www.ganbt.com
190 Bonney Lane Fayetteville, NC 28306
(Cumberland County) 910-257-6406 www.ganbt.com
Page: 67 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Sierra's Residental Services, Inc.
(Medicaid) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Psychiatric Services; Residential
Services
292 Sierra Trail Spring Lake, NC 28390
(Cumberland County) 910-814-4243 srscounseling.com
21 Lanexa Lane Spring Lake, NC 28390
(Cumberland County) 910-814-4243 srscounseling.com
665 Lake Ridge Drive Cameron, NC 28326
(Harnett County) 919-814-4243 srscounseling.com
1995 Us 421 North Lillington, NC 27546
(Harnett County) 910-814-4243 srscounseling.com
Sigma Health Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Intensive Outpatient Program
8368 Six Forks Road Suite 102 Raleigh, NC 27615
(Wake County) 919-848-9108
Simrun Health Services, Inc.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
1100 Hardee Road Suite 101-B Kinston, NC 28504
(Lenoir County) 336-908-1044
Skill Creations, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Residential Services
1406 Tyonek Drive Durham, NC 27703
(Durham County) 919-734-7398 www.skillcreations.com
1523 Tyonek Drive Durham, NC 27703
(Durham County) 919-734-7398 www.skillcreations.com
1045 Kinchen Drive Rocky Mount, NC 27803
(Nash County) 919-734-7398 www.skillcreations.com
103 & 105 Clearfield Drive Roanoke Rapids, NC 27870
(Halifax County) 919-734-7398 www.skillcreations.com
2701 West Fifth Street Greenville, NC 27834
(Pitt County) 919-734-7398 www.skillcreations.com
2693 Forest Hills Rd Ste E Wilson, NC 27893
(Wilson County) 919-734-7398 www.skillcreations.com
1716 Martin Luther King Jr Parkway E Wilson, NC 27893
(Wilson County) 919-734-7398 www.skillcreations.com
2101 Royal Ave Goldsboro, NC 27534
(Wayne County) 919-734-7398 www.skillcreations.com
338 Copper Street Winterville, NC 28590
(Pitt County) 919-734-7398 www.skillcreations.com
Page: 68 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
223 Forest Trail Clinton, NC 28328
(Sampson County) 919-734-7398 www.skillcreations.com
Sophia B. Pierce & Associates, Inc. (Medicaid) Ages:
Services: IDD
Innovations Services; Residential Services; Respite; Supportive
Employment
1128 Paddington Place Fayetteville, NC 28314
(Cumberland County) 910-488-8477
1422 Murchison Road Fayetteville, NC 28301
(Cumberland County) 910-488-8477
611 Country Club Drive Fayetteville, NC 28301
(Cumberland County) 910-488-8477
1909 Stanberry Street Fayetteville, NC 28301
(Cumberland County) 910-488-8477
3301 Barksdale Road Fayetteville, NC 28301
(Cumberland County) 910-488-8477
Southeastern Healthcare Of Nc
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Psychiatric Services; Psychosocial Rehabilitation
437 S Moore St Clayton, NC 27520
(Johnston County) 919-987-2801 southeasternhealthcarenc.com
440 W. Main Street Clayton, NC 27520
(Johnston County)
southeasternhealthcarenc.com
3401 Carl Sandburg Ct Raleigh, NC 27610
(Wake County)
southeasternhealthcarenc.com
Southlight Healthcare
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Methadone Treatment; Psychiatric Services;
Residential Services; SA Comprehensive Outpatient Treatment;
SA Intensive Outpatient Program
3125 Poplarwood Court, Suite 203 Raleigh, NC 27604
(Wake County) 919-787-6131
301 Sunset Drive Fuquay Varina, NC 27526
(Wake County) 919-787-6131
1012 Oberlin Road Suite 300 Raleigh, NC 27605
(Wake County) 919-787-6131
2101 Garner Road Raleigh, NC 27610
(Wake County) 919-787-6131
1822 Gorman Street Raleigh, NC 27604
(Wake County) 919-787-6131
220 Swinburne Road Raleigh, NC 27610
(Wake County) 919-787-6131
Page: 69 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Specialized Services And Personnel (Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Residential Services;
Respite; Supportive Employment
4720 Dillingham Court Raleigh, NC 27604
(Wake County) 910-944-8125
608 Johnston Street Suites 1&2 Raleigh, NC 27603
(Wake County) 910-944-8125
105 Bushberry Court Garner, NC 27529
(Wake County) 910-944-8125
301 North Sycamore Street Aberdeen, NC 28315
(Moore County) 910-944-8125
Spigner Management Systems Dba (Medicaid) Ages:
Services: IDD
Bj Hill And Associates
Innovations Services; Respite; Supportive Employment
205 Scott Avenue Fayetteville, NC 28301
(Cumberland County) 910-864-1807
601 Mann Street Fayetteville, NC 28301
(Cumberland County) 910-864-1807
409 Lynn Avenue Fayetteville, NC 28301
(Cumberland County) 910-864-1807
Spirit Of Excellence Community
Outreach, Inc. Dba Guardian Care
(State) Ages:
Services:
Residential Services
510 Crissy Drive Jacksonville, NC 28540
(Onslow County) 910-382-6595
Stan B Treatment Services Inc
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; Residential Services; Respite
1680 Booker Dairy Road Smithfield, NC 27577
(Johnston County) 919-938-1190
1680 Booker Dairy Rd Smithfield, NC 27577
(Johnston County) 919-938-1190
Stephens Outreach Center
(Medicaid) Ages:
Services: IDD
Assessment; Child Residential Services; Residential Services
2105-B Elizabethtown Road Lumberton, NC 28358
(Robeson County) 910-738-7865 www.stephensoc.net
608-A Martin Luther King Drive Fairmont, NC 28340
(Robeson County) 910-738-7865 www.stephensoc.net
2105-B Elizabethtown Road Lumberton, NC 28358
(Robeson County) 910-738-7865 www.stephensoc.net
Page: 70 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Strategic Interventions, Inc.
(Medicaid) Ages:
Services: MH / SA
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Crisis Services;
Psychiatric Services; Psychosocial Rehabilitation
308 Harrison Ave Yadkinville, NC 27055
(Yadkin County) 828-659-3418
301 East Meeting Street Morganton, NC 28655
(Burke County) 828-659-3418
1251 Pinnacle Church Road Nebo, NC 28762
(Mcdowell County) 828-659-3418
3100 Hwy 226 South Suite B Marion, NC 28752
(Mcdowell County) 828-659-3418
3100 Hwy 226 South Suite A Marion, NC 28752
(Mcdowell County) 828-659-3418
301 East Meeting Street Suite 11 Morganton, NC 28655
(Burke County) 828-659-3418
1012 Glenway Drive Yadkinville, NC 27055
(Yadkin County) 828-659-3418
403 East Main Street Yadkinville, NC 27055
(Yadkin County) 828-659-3418
319 H South Westgate Drive Greensboro, NC 27407
(Guilford County) 828-659-3418
Structured Family Interventions,
Llc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services; Respite; SA Comprehensive
Outpatient Treatment
5318 Highgate Drive suite 231 Durham, NC 27713
(Durham County) 919-416-0800 wwwsfi4families.com
Successful Solutions, Mhs Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
2402 South Miami Blvd. ste. 102 Durham, NC 27703
(Durham County) 919-544-7445
Successful Transitions, Llc
(Medicaid) Ages:
Services:
Child Residential Services
820 Mark Street High Point, NC 27260
(Guilford County) 336-275-7973 www.successfultransistionsllc.com
1458 London Drive High Point, NC 27260
(Guilford County) 336-275-7973 www.successfultransistionsllc.com
Sunlight Behavior Center, Inc.
(Medicaid) Ages:
Services:
Child Residential Services
10362 Fayetteville Road Fayetteville, NC 28314
(Cumberland County) 910-864-2443 sunlightbehaviorcenter.org
Page: 71 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2030 Hoke Loop Road Fayetteville, NC 28314
(Cumberland County) 910-864-2443 sunlightbehaviorcenter.org
Sunrise Clinical Associates Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Psychological Testing; Psychosocial Rehabilitation
3500 Westgate Drive Suite 604 Durham, NC 27707
(Durham County) 919-493-5013 www.sunriseclinical.org
Sunrise Pointe, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
203 Overbrook Terrace Burlington, NC 27215
(Alamance County) 336-226-8004 [email protected]
1409 Jackson Street Burlington, NC 27217
(Alamance County) 336-226-8004 [email protected]
T.L.C. Home, Inc.
(Medicaid) Ages:
Residential Services
Services: IDD
1775 Hawkins Avenue Sanford, NC 27330
(Lee County) 919-774-4355
Telecare Mental Health Services Of (Medicaid; State) Ages:
Services:
Nc Dba Telecare Durham Actt
Assertive Community Treatment
923 Broad Street Durham, NC 27705
(Durham County) 919-220-4224 www.telecarecorp.com
The Alpha Management Community (Medicaid; State) Ages:
Services: IDD
Services,Inc.
Child Residential Services; Residential Services; Respite
2 Consultant Place Durham, NC 27707
(Durham County)
2 Consultant Place Durham, NC 27707
(Durham County)
The Arc Of North Carolina, Inc.
(Medicaid; State) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
673 S Bennett Street Southern Pines, NC 28387
(Cumberland County) 919-782-4632 arcnc.org
5041 New Centre Drive Ste 100 Wilmington, NC 28403
(New Hanover County) 919-782-4632 arcnc.org
343 East Six Forks Road Suite 320 Raleigh, NC 27609
(Wake County) 919-782-4632 arcnc.org
The Arc Of The Triangle Inc
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
208 N Columbia St Chapel Hill, NC 27514
(Orange County) 919-942-5119
6500 Cross Meadow Ct Fuquay Varina, NC 27526
(Wake County) 919-942-5119
Page: 72 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
The Bair Foundation
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services; Respite
108 Executive Park Dr. Asheville, NC 28801
(Buncombe County)
The Bruson Group, Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
7417 Knightdale Blvd, Unit 101 Knightdale, NC 27545
(Wake County) 919-261-8566 www.thebrusongroupinc.net
4513 Fox Road Raleigh, NC 27616
(Wake County) 919-261-8566 www.thebrusongroupinc.net
7417 Knightdale Blvd Ste 101 Knightdale, NC 27545
(Wake County) 919-261-8566 www.thebrusongroupinc.net
5309 Kyle Drive Raleigh, NC 27616
(Wake County) 919-261-8566 www.thebrusongroupinc.net
3501 Neptune Drive Raleigh, NC 27604
(Wake County) 919-261-8566 www.thebrusongroupinc.net
The Children's Home
(Medicaid) Ages:
Services: SA
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Day Treatment; Psychiatric Services
1001 Reynolda Road Building 10 Winston Salem, NC 27104
(Forsyth County) 336-721-7639 wwwtchome.org
1001 Reynolda Road Building #20 C & D Winston Salem, NC 27104
(Forsyth County) 336-721-7639 wwwtchome.org
1001 Reynolda Road Winston Salem, NC 27104
(Forsyth County) 336-721-7639 wwwtchome.org
1001 Reynolda Road building 18 Winston Salem, NC 27104
(Forsyth County) 336-721-7639 wwwtchome.org
1001 Reynolda Road, Bristol Cottage Building 20, A Winston Salem, NC
27104
(Forsyth County) 336-721-7639 wwwtchome.org
The Janice Mae Hawkins
Foundation, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
3359 Gables Drive Fayetteville, NC 28301
(Cumberland County) 910-864-3426
2305 Slater Avenue Fayetteville, NC 28301
(Cumberland County) 910-864-3426
723 Glen Reilly Rd Fayetteville, NC 28314
(Cumberland County) 910-864-3426
Page: 73 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
The Keywest Center, Inc.
(Medicaid) Ages:
Residential Services
Services: IDD
1722 Athens Avenue Durham, NC 27707
(Durham County) 919-682-9392
The Loving Home
(Medicaid; State) Ages:
Services: IDD
Innovations Services; Residential Services; Supportive
Employment
2162 Dobbin Holmes Road Fayetteville, NC 28312
(Cumberland County) 910-485-4742
1710 Scampton Drive Fayetteville, NC 28303
(Cumberland County) 910-485-4742
3608 Thorndike Drive Fayetteville, NC 28311
(Cumberland County) 910-485-4742
4944 Macedonia Church Road Fayetteville, NC 28312
(Cumberland County) 910-485-4742
3581 Torbay Drive Fayetteville, NC 28311
(Cumberland County) 910-485-4742
The Methodist Home For Children,
Inc Dba Fact Specialized Services
(Medicaid) Ages:
Services: IDD
Child Residential Services; Day Treatment; Residential Services
1041 Washington St. Jacksonville, NC 28546
(Onslow County) 919-833-2834 www.mhfc.org
127 Center St. Jacksonville, NC 28546
(Onslow County) 919-833-2834 www.mhfc.org
107 Silverleaf Drive Jacksonville, NC 28546
(Onslow County) 919-833-2834 www.mhfc.org
109 Silverleaf Drive Jacksonville, NC 28546
(Onslow County) 919-833-2834 www.mhfc.org
The Solution Center
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
816 Longview Drive Fayetteville, NC 28311
(Cumberland County) 910-488-5634
Therapeutic Alternatives, Inc.
(Medicaid; State) Ages:
Services: MH
Crisis Services; Psychosocial Rehabilitation
4270 Heath Dairy Rd Randleman, NC 27317
(Randolph County) 336-495-2700 mytahome.com
4016 Barrett Dr Ste 203 Raleigh, NC 27609
(Wake County) 336-495-2700 mytahome.com
974 South Cox Street Asheboro, NC 27203
(Randolph County) 336-633-7289 mytahome.com
696 Covington Street Troy, NC 27371
(Montgomery County) 336-495-2700 mytahome.com
Page: 74 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Thompson Child & Family Focus
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Child Residential Services; Counseling/Outpatient
Therapy; Psychiatric Services; Residential Services
769 Wendover Rd Charlotte, NC 28211
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6800 Saint Peters Lane Matthews, NC 28105
(Union County) 704-664-4361 www.thompsoncff.org
6725 St. Peter's Lane Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6736 St. Peter's Ln. Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6750 St. Peter's Lane Suite 200 Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6750 St. Peter's Lane Suite 300 Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6750 St. Peter's Ln Suite 400 Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6750 St. Peter's Ln. Suite 100 Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6700 St. Peter's Ln. Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
6722 St. Peter's Ln Matthews, NC 28105
(Mecklenburg County) 704-664-4361 www.thompsoncff.org
Threshold, Inc.
(Medicaid; State) Ages:
Services: MH
Psychosocial Rehabilitation
609 Gary Street Durham, NC 27703
(Durham County) 919-682-4124 www.thresholdclubhouse.org
11030 Raven Ridge Rd Raleigh, NC 27614
(Wake County) 919-682-4124 www.thresholdclubhouse.org
609 Gary Street Durham, NC 27703
(Durham County) 919-682-4124 www.thresholdclubhouse.org
Thursher Goodman Winstead
Carehome
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
1579 Semora Road Roxboro, NC 27574
(Person County) 336-597-5490
Timber Ridge Treatment Facility
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
665 Timber Trail Gold Hill, NC 28071
(Rowan County) 704-279-1199 www.trtc.net
Page: 75 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Tlc Operations, Inc. Dba Tammy
Lynn Center For Developmental
Disabilities
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Residential Services;
Respite; Supportive Employment
739 Chappell Drive Raleigh, NC 27606
(Wake County) 919-832-3909
303 North Montreal Court Cary, NC 27511
(Wake County) 919-832-3909
413 Ralph Drive Cary, NC 27511
(Wake County) 919-832-3909
741 Chappell Drive Raleigh, NC 27606
(Wake County) 919-832-3909
743 745 & 737 Chappell Drive Raleigh, NC 27606
(Wake County) 919-832-3909
747 Chappell Drive Raleigh, NC 27606
(Wake County) 919-832-3909
1931 Melrose Valley Circle #1511 Raleigh, NC 27603
(Wake County) 919-832-3909
Tonya Omar, Pllc Dba The Aya
Center
(Medicaid) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services;
Psychological Testing; Psychosocial Rehabilitation
3500 Westgate Drive Suite 101 Durham, NC 27707
(Durham County) 919-402-8738
3500 Westgate Drive Suite 201 Suite 201 Durham, NC 27707
(Durham County) 919-402-8738
Top Priority Care Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Psychiatric Services
5475 Lumley Road Durham, Nc Durham, NC 27703
(Durham County) 919-405-7200 www.topprioritycareservices.com
5475 Lumley Rd Ste 106 Durham, NC 27703
(Durham County) 919-405-7200 www.topprioritycareservices.com
Touching Lives Center Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2949 New Bern Avenue Suite 107a Raleigh, NC 27610
(Wake County) 919-747-9843 http://touchinglivescenterinc.org
Touchstone Residential Services
(Medicaid; State) Ages:
Services: IDD
Child Residential Services; I/DD Supports; Innovations
Services; Residential Services; Respite; Supportive Employment
1405 Westchester Rd Raleigh, NC 27610
(Wake County) 919-465-0910 trs-nc.com
Page: 76 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
11030 Raven Ridge Rd Suite 017 Raleigh, NC 27614
(Wake County) 919-465-0910 trs-nc.com
707 Buena Vistan Drive Fayetteville, NC 28311
(Cumberland County) 919-465-0910 trs-nc.com
4833 Tolley Ct Raleigh, NC 27616
(Wake County) 919-465-0910 trs-nc.com
1224 Copeland Oak Drive Morrisville, NC 27560
(Wake County) 919-465-0910 trs-nc.com
1216 Copeland Oaks Drive Morrisville, NC 27560
(Wake County) 919-465-0910 trs-nc.com
7205 Jonathan Drive Wendell, NC 27591
(Wake County) 919-465-0910 trs-nc.com
2721 Hinson Drive Durham, NC 27704
(Durham County) 919-465-0910 trs-nc.com
612 Dupree Street Durham, NC 27701
(Durham County) 919-465-0910 trs-nc.com
1501 Roberts Avenue Lumberton, NC 28358
(Robeson County) 919-465-0910 trs-nc.com
Triangle Comprehensive Health
Services, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite
1700 East Ast St. suite 103 Goldsboro, NC 27530
(Wayne County) 919-751-0277
100 Holden Road Suite F Youngsville, NC 27596
(Franklin County) 919-751-0277
Triangle Family Services, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3937 Western Blvd. Raleigh, NC 27606
(Wake County) 919-821-0790 www.tfsnc.org
Triangle Residential Options For
Substance Abusers, Inc. (Trosa)
(State) Ages:
Services:
Residential Services
1715 Chapel Hill Road Durham, NC 27707
(Durham County)
1820 James Street Durham, NC 27707
(Durham County)
Tri-County Community Health
Council, Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; SA Comprehensive Outpatient Treatment
3331 Easy Street Dunn, NC 28334
(Harnett County) 910-567-7158
1480-B Maple Grove Church Rd Dunn, NC 28334
(Harnett County) 910-567-7158
Page: 77 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
306 Beaman Street Clinton, NC 28328
(Sampson County) 910-567-7158
1480-C Maple Grove Church Rd Dunn, NC 28334
(Harnett County) 910-567-7158
Trinity Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Multi Systemic
Therapy; Psychiatric Services
801 E. Broad Avenue Suite 12 Rockingham, NC 28379
(Richmond County) 910-895-6270 nctrinityservices.com
Trust The Process, Inc.
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation; SA Comprehensive
Outpatient Treatment
2110 Murchison Road Fayetteville, NC 28301
(Cumberland County) 910-488-9009
Turning Point Family Care, Pllc
(Medicaid; State) Ages:
Services: MH / SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Day Treatment; Intensive In-Home Therapy;
Psychiatric Services; Psychosocial Rehabilitation
2515 East Nc Hwy 54 Suite 2200 Durham, NC 27713
(Durham County) 919-493-0959 www.tpacenter.org
1708 Trawick Rd Suite L01 Raleigh, NC 27604
(Wake County) 919-493-0959 www.tpacenter.org
8390 Six Forks Road Raleigh, NC 27615
(Wake County) 919-493-0959 www.tpacenter.org
Turning Point Services
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
1001 South Sterling St Morganton, NC 28655
(Burke County) 828-433-4719 www.turningpointservicesinc.com
4000 Blue Ridge Road, Suite 160 Raleigh, NC 27612
(Wake County) 828-433-4719 www.turningpointservicesinc.com
410 South Green Street Morganton, NC 28655
(Burke County) 828-433-4719 www.turningpointservicesinc.com
325 Court St. Jefferson, NC 28640
(Ashe County) 828-433-4719 www.turningpointservicesinc.com
3607 Cyrus St Raleigh, NC 27610
(Wake County) 828-433-4719 www.turningpointservicesinc.com
Page: 78 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Unc Cabha
(Medicaid; State) Ages:
Services: SA / IDD
Assertive Community Treatment; Assessment; Community
Support Team; Counseling/Outpatient Therapy; Psychiatric
Services; Residential Services; SA Comprehensive Outpatient
Treatment; SA Intensive Outpatient Program
123 Kingston Drive Chapel Hill, NC 27514
(Orange County)
200 N. Greensboro Street Suite 6 Carrboro, NC 27510
(Orange County)
107 Sunnybrook Rd Raleigh, NC 27610
(Wake County)
United Comprehensive Services, Llc (Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
310 Millbrook Road Suite 201 Raleigh, NC 27609
(Wake County) 919-424-7298 www.unitedcomprehensive.com
United Family Network
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
9609 Kennebec Rd Willow Spring, NC 27592
(Wake County) 919-749-2767 ufnnc.org
1259 Ridge Road Angier, NC 27501
(Harnett County) 919-749-2767 ufnnc.org
7086 Kennebec Road Willow Springs, NC 27592
(Wake County) 919-749-2767 ufnnc.org
164 South Broad Street Angier, NC 27501
(Harnett County) 919-749-2767 ufnnc.org
United Living Llc
(Medicaid; State) Ages:
Residential Services
Services: IDD
656 Friendway Rd Greensboro, NC 27410
(Guilford County) 336-379-7584
1209 Westhampton Dr Greensboro, NC 27405
(Caswell County) 336-379-7584
1209 Westhampton Dr Greensboro, NC 27405
(Guilford County) 336-379-7584
United Methodist Agency For The
Retarded Western Nc, Inc.
(Medicaid)
Ages:
Services:
9800 Kincey Avenue Suite 190 Huntersville, NC 28078
(Mecklenburg County) 704-659-7630 www.UMARinfo.com
342 Cherokee Camp Road Reidsville, NC 27320
(Rockingham County) 704-659-7630 www.UMARinfo.com
Page: 79 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
United Quest Care Services, Llc
(Medicaid) Ages:
Services: MH / SA
Assertive Community Treatment; Assessment;
Counseling/Outpatient Therapy; Psychiatric Services;
Psychosocial Rehabilitation; SA Comprehensive Outpatient
Treatment
806 Summit Avenue Suite 210a Greensboro, NC 27405
(Guilford County) 336-279-1227 unitedquestcareservices.org
United Rehabilitation Services, Inc. (Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation
200 N. 13th Street Suite 19 Erwin, NC 28339
(Harnett County) 910-980-0146
United Residential Services Of
North Carolina, Inc
(Medicaid) Ages:
Services: IDD
Innovations Services
6503 Kemper Court Fayetteville, NC 28314
(Cumberland County) 910-689-6993
6852 Mahogany Road Fayetteville, NC 28303
(Cumberland County) 910-689-6993
United Seating And Mobility, Llc
(Medicaid)
Ages:
Services:
1001 American Way Apex, NC 27502
(Wake County)
United Support Services, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
2331 Crownpoint Executive Drive Suite J Charlotte, NC 28227
(Mecklenburg County) 704-841-3544 www.ussnc.org
2617 Gross Avenue Wake Forest, NC 27587
(Wake County) 704-841-3544 www.ussnc.org
1208 Armstong Circle Raleigh, NC 27610
(Wake County) 704-841-3544 www.ussnc.org
712 Cupola Drive Raleigh, NC 27603
(Wake County) 704-841-3544 www.ussnc.org
120 Mangums Drive Wendell, NC 27591
(Wake County) 704-841-3544 www.ussnc.org
1014 Southerland Road Garner, NC 27529
(Wake County) 704-841-3544 www.ussnc.org
611 Mckay Place Garner, NC 27529
(Wake County) 704-841-3544 www.ussnc.org
902 Creech Road Garner, NC 27529
(Wake County) 704-841-3544 www.ussnc.org
3504 Deering Drive Raleigh, NC 27616
(Wake County) 704-841-3544 www.ussnc.org
Page: 80 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2532 Birchford Court Raleigh, NC 27604
(Wake County) 704-841-3544 www.ussnc.org
2018 Laurel Valley Way Raleigh, NC 27604
(Wake County) 704-841-3544 www.ussnc.org
8112 Running Cedar Trail Raleigh, NC 27615
(Wake County) 704-841-3544 www.ussnc.org
144 Adrian Street Holly Springs, NC 27540
(Wake County) 704-841-3544 www.ussnc.org
1701 West Gannon Avenue Zebulon, NC 27597
(Wake County) 704-841-3544 www.ussnc.org
4407 West River Rd Franklinton, NC 27525
(Franklin County) 704-841-3544 www.ussnc.org
Unity Home Care, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Innovations Services
4607 Franklin Avenue Wilmington, NC 28403
(New Hanover County) 910-864-1799 www.unityhomecare.net
5975 Spinner Road Hope Mills, NC 28348
(Cumberland County) 910-864-1799 www.unityhomecare.net
211-A Fairway Drive Fayetteville, NC 28305
(Cumberland County) 910-864-1799 www.unityhomecare.net
1419 Milton Street Spring Lake, NC 28390
(Cumberland County) 910-864-1799 www.unityhomecare.net
Universal Mental Health Services,
Inc.
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Respite; Supportive
Employment
602 W. Nash St. Unit A Wilson, NC 27893
(Wilson County) 828-759-2228 www.umhs.net
839 Wilkesboro Blvd Lenoir, NC 28645
(Caldwell County) 828-759-2228 www.umhs.net
3900 Barrett Drive Suite 311 Raleigh, NC 27609
(Wake County) 828-759-2228 www.umhs.net
900 Maroubra Loop Apt 8103 Cary, NC 27513
(Wake County) 828-759-2228 www.umhs.net
4824 Mocha Lane Raleigh, NC 27616
(Wake County) 828-759-2228 www.umhs.net
5419 Allen Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
4001 Lehigh Court Raleigh, NC 27609
(Wake County) 828-759-2228 www.umhs.net
5039 Sedgewick Dr Raleigh, NC 27616
(Wake County) 828-759-2228 www.umhs.net
Page: 81 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
3807 Griffs Glenn Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
4600 Punjab Street Raleigh, NC 27604
(Wake County) 828-759-2228 www.umhs.net
3202 Pridwen Circle Apt 202 Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
4323 Viewmont Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
203 Loft Lane Raleigh, NC 27609
(Wake County) 828-759-2228 www.umhs.net
5 Gingerwood Lane Durham, NC 27713
(Durham County) 919-760-7363 www.umhs.net
85 Wood Green Dr Wendell, NC 27591
(Wake County) 828-759-2228 www.umhs.net
3709 Arbor Drive Raleigh, NC 27612
(Wake County) 828-759-2228 www.umhs.net
5508 Simmons Drive Garner, NC 27529
(Wake County) 828-759-2228 www.umhs.net
834 Schley Drive Fayetteville, NC 28314
(Cumberland County) 828-759-2228 www.umhs.net
10624 Kingsclere Drive Cary, NC 27511
(Wake County) 828-759-2228 www.umhs.net
5529 Wilhagan Ct Raleigh, NC 27616
(Wake County) 828-759-2228 www.umhs.net
3916 Song Sparrow Wake Forest, NC 27587
(Wake County) 828-759-2228 www.umhs.net
3701 Rivermist Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
2909 Hayling Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
1015 Hunting Ridge Drive Apt A Raleigh, NC 27615
(Wake County) 828-759-2228 www.umhs.net
1307 Tralea Drive Durham, NC 27707
(Durham County) 828-759-2228 www.umhs.net
6417 Bisland Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
1424 Huntdell Main Drive Wendell, NC 27591
(Wake County) 828-759-2228 www.umhs.net
1025 Tellis Drive Knightdale, NC 27545
(Wake County) 828-759-2228 www.umhs.net
923 Bryan Place Apt 6 Garner, NC 27529
(Wake County) 828-759-2228 www.umhs.net
Page: 82 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
2405 Grant Avenue Raleigh, NC 27608
(Wake County) 828-759-2228 www.umhs.net
1537 Silverstar Drive Raleigh, NC 27610
(Wake County) 828-759-2228 www.umhs.net
7906 Averette Field Dr Raleigh, NC 27616
(Wake County) 828-759-2228 www.umhs.net
104 Glosson Circle Carrboro, NC 27510
(Orange County) 828-759-2228 www.umhs.net
2720 Wedgedale Avenue Durham, NC 27703
(Durham County) 828-759-2228 www.umhs.net
Upscale Residential Care, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
614 N. Pine Street Roseboro, NC 28382
(Sampson County) 919-789-1154 www.upscaleenterprises.com
Upward Change Health Services,
Llc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services; Psychosocial
Rehabilitation
2314 S. Miami Blvd Suite 154 Durham, NC 27703
(Durham County) 919-682-5300 www.upwardchangeservice.com
807 E Main St Ste 4-105 Durham, NC 27701
(Durham County) 919-682-5300 www.upwardchangeservice.com
3509 Haworth Drive Suite 222 Raleigh, NC 27609
(Wake County) 919-977-7588 www.upwardchangeservice.com
106 Ava Gardner Ave Smithfield, NC 27577
(Johnston County) 919-300-1559 www.upwardchangeservice.com
Victor & Associates, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
1600 South Third Street Sanford, NC 27330
(Lee County) 919-718-4988 www.victor-inc.com
54 Ripley Road Cameron, NC 28326
(Harnett County) 919-718-4988 www.victor-inc.com
436 West Road Cameron, NC 28326
(Harnett County) 919-718-4988 www.victor-inc.com
808 North Mckay Avenue Dunn, NC 28334
(Harnett County) 919-718-4988 www.victor-inc.com
218 Wicker Street Sanford, NC 27330
(Lee County) 919-718-4988 www.victor-inc.com
Page: 83 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Visionquest Nonprofit Corporation
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Residential Services; SA Intensive Outpatient Program
901b W. Chapel Hill St. Durham, NC 27701
(Durham County) 919-794-7730
2728 Stuart Drive Durham, NC 27707
(Durham County) 919-794-7730
1802 Mlk Pwky Durham, NC 27707
(Durham County) 919-794-7730
3101 D Guess Rd Durham, NC 27705
(Durham County) 919-794-3814
Visions Counseling Studio, Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychosocial Rehabilitation; SA Comprehensive
Outpatient Treatment; SA Intensive Outpatient Program
401 East Lakewood Avenue Suite E Durham, NC 27707
(Durham County)
visionscounseling.net
Vito Guarnaccia Phd
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
1020 Southhill Dr. Ste 300 Cary, NC 27513
(Wake County) 919-210-3958
Voca Corporation Of North Carolina (Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
408 Bass Lake Holly Springs, NC 27540
(Wake County) 919-850-2117 www.rescare.com
201 North Sixth Street Sanford, NC 27330
(Lee County) 919-850-2117 www.rescare.com
322 Obie Drive Durham, NC 27713
(Durham County) 919-850-2117 www.rescare.com
2415 Otis Street Durham, NC 27707
(Durham County) 919-850-2117 www.rescare.com
614 Seven Oaks Road Durham, NC 27704
(Durham County) 919-850-2117 www.rescare.com
2219 Gentry Drive Durham, NC 27705
(Durham County) 919-850-2117 www.rescare.com
105 Greenwood Circle Smithfield, NC 27577
(Johnston County) 919-850-2117 www.rescare.com
6620 Harrisburg Charlotte, NC 28227
(Wilkes County) 919-850-2117 www.rescare.com
322 Hickory Avenue Sanford, NC 27330
(Lee County) 919-850-2117 www.rescare.com
Page: 84 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
112 Hickory Avenue Holly Springs, NC 27540
(Wake County) 919-850-2117 www.rescare.com
206 North Mason Street Apex, NC 27502
(Wake County) 919-850-2117 www.rescare.com
1200 Navaho Drive Raleigh, NC 27539
(Wake County) 919-850-2117 www.rescare.com
200 Laurelwood Drive Smithfield, NC 27577
(Johnston County) 919-850-2117 www.rescare.com
534 Country Lane Holly Springs, NC 27540
(Wake County) 919-850-2117 www.rescare.com
301 College Street Wilkesboro, NC 28697
(Wilkes County) 919-850-2117 www.rescare.com
424 Creekway Drive Fuquay Varina, NC 27526
(Wake County) 919-850-2117 www.rescare.com
113 W. Fire Tower Road Suite N Winterville, NC 28590
(Pitt County) 919-850-2117 www.rescare.com
707 East Olive Street Apex, NC 27502
(Wake County) 919-850-2117 www.rescare.com
Wake County Specialized
(Medicaid) Ages:
Residential Home For Children, Inc. Residential Services
Dba Hilltop Home
Services: IDD
2820 Kidd Road Raleigh, NC 27610
(Wake County) 919-231-8315 hilltophome.org
Wake Enterprises, Inc.
(Medicaid; State) Ages:
Services: IDD
I/DD Supports; Innovations Services; Respite; Supportive
Employment
3333 Air Park Road Fuquay Varina, NC 27526
(Wake County) 919-714-6100 wake-enterprises.org
3548 Bush St Raleigh, NC 27609
(Wake County) 919-714-6100 wake-enterprises.org
Walter B. Jones Adatc
(Medicaid)
Ages:
Services:
2577 W. Fifth St. Greenville, NC 27834
(Pitt County)
Waynesboro Family Clinic, P.A.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
1706 Wayne Memorial Dr Goldsboro, NC 27534
(Wayne County) 919-734-6676
Page: 85 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Wescare Professional Services, Llc
(Bedf
(Medicaid) Ages:
Services: IDD
Child Residential Services; Innovations Services; Residential
Services
2704 N. Church Street Greensboro, NC 27405
(Caswell County) 336-272-8335
221 Bedford Dr Eden, NC 27288
(Rockingham County) 336-272-8335
Whitaker Prtf
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
L Street Building 43 Butner, NC 27509
(Granville County)
Wincare, Inc.
(Medicaid)
Ages:
Services:
1558 South Winstead Avenue Rocky Mount, NC 27803
(Nash County) 800-850-0483
Yahweh Center Inc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
P.O. Box 10399 Wilmington, NC 28404
(New Hanover County) 910-675-3533
5103 Lamb's Path Way Castle Hayne, NC 28429
(New Hanover County) 910-675-3533
5107 Lamb's Path Way Castle Hayne, NC 28429
(New Hanover County) 910-675-3533
Yancey Residential Services Inc
(Medicaid)
Ages:
Services:
35 Cleo St Burnsville, NC 28714
(Yancey County) 828-682-4944
281 Wheeler Hills Rd Burnsville, NC 28714
(Yancey County) 828-682-4944
Yelverton's Enrichment Services,
Inc.
(Medicaid) Ages:
Services: SA
Assessment; Community Support Team; Counseling/Outpatient
Therapy; Intensive In-Home Therapy; Psychiatric Services
6977 Nexus Court Suite 102 Fayetteville, NC 28304
(Cumberland County) 910-703-8402 www.yes2humanhealth.com
2530 Meridian Pkwy Suite 300 Durham, NC 27713
(Durham County) 919-872-6220 www.yes2humanhealth.com
4805 Green Rd Ste 103 Raleigh, NC 27616
(Wake County) 919-872-6220 www.yes2humanhealth.com
Your Choice Services, Inc.
(Medicaid) Ages:
Services: IDD
Innovations Services; Respite; Supportive Employment
1025 Sappony Drive Apt 108 Knightdale, NC 27545
(Wake County) 919-787-7423 www.yourchoiceservices.net
Page: 86 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
6709-B2 Six Forks Rd. Raleigh, NC 27615
(Wake County) 919-787-7423 www.yourchoiceservices.net
2215 Brisbaine Woods Way Cary, NC 27518
(Wake County) 919-787-7423 www.yourchoiceservices.net
1141 Baxter Lane Knightdale, NC 27545
(Wake County) 919-787-7423 www.yourchoiceservices.net
2216 Brisbane Woods Way Cary, NC 27518
(Wake County) 919-787-7423 www.yourchoiceservices.net
2428 Brisbane Woods Way Cary, NC 27518
(Wake County) 919-787-7423 www.yourchoiceservices.net
6709 B4 Six Forks Rd. Raleigh, NC 27615
(Wake County) 919-787-7423 www.yourchoiceservices.net
2114 Brisbane Woods Way Cary, NC 27518
(Wake County) 919-787-7423 www.yourchoiceservices.net
3824 Barrett Drive Suite 105 Raleigh, NC 27609
(Wake County) 919-787-7423 www.yourchoiceservices.net
1035 Bristoe Dr Apt 107 Knightdale, NC 27545
(Wake County) 919-787-7423 www.yourchoiceservices.net
1035 Bristoe Dr Apt 102 Knightdale, NC 27545
(Wake County) 919-787-7423 www.yourchoiceservices.net
1220 Bristoe Drive Apt 202 Knightdale, NC 27545
(Wake County) 919-787-7423 www.yourchoiceservices.net
6729 Six Forks Rd., Apt B4 Raleigh, NC 27605
(Wake County) 919-787-7423 www.yourchoiceservices.net
Youth Builders, Llc
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
2423 Morningside Drive Burlington, NC 27217
(Alamance County) 252-767-8615
Youth Enrichment Group Home,
Inc.
(Medicaid) Ages:
Services:
Child Residential Services
4004 Cornerrock Drive Greensboro, NC 27406
(Guilford County) 336-382-6658
1807 Lockwood Drive Greensboro, NC 27406
(Guilford County) 336-382-6658
1701 Bellwick Drive Greensboro, NC 27406
(Guilford County) 336-382-6658
203 Hammond Drive Greensboro, NC 27406
(Caswell County) 336-382-6658
Page: 87 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Agencies & Group Practices
Youth Extensions, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Day Treatment;
Intensive In-Home Therapy; Psychiatric Services
5300 Atlantic Ave Ste L Raleigh, NC 27609
(Wake County) 919-246-5664
1100 N. Miami Blvd Suite 601 Durham, NC 27703
(Durham County) 919-246-5664
Youth Focus, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Day Treatment; Residential Services
1601b Huffine Mill Road Greensboro, NC 27405
(Guilford County) 336-274-5909 www.youthfocus.org
715 N. Eugene St. Greensboro, NC 27401
(Guilford County) 336-274-5909 www.youthfocus.org
309 Concord Street Greensboro, NC 27406
(Guilford County) 336-274-5909 www.youthfocus.org
1601c Huffine Mill Road Greensboro, NC 27405
(Guilford County) 336-274-5909 www.youthfocus.org
Youth Quest, Inc.
(Medicaid) Ages:
Services:
Child Residential Services
1515 West Nc Highway 54 Durham, NC 27707
(Durham County)
1162 Belfair Way Chapel Hill, NC 27517
(Orange County)
Youth Villages, Inc.
(Medicaid; State) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy; Multi Systemic Therapy; Psychiatric Services
100 Capitola Drive Suite 310 Durham, NC 27713
(Durham County) 919-474-6377
100 Capitola Drive Suite 310 Durham, NC 27713
(Durham County) 937-258-0330
5228 North Carolina Highway 211 West End, NC 27376
(Moore County) 937-258-0330
Page: 88 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
1st Opportunity Behavioral Health, (Medicaid) Ages:
Services:
Llc
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2949 New Bern Ave Ste 110-B Raleigh, NC 27610
(Wake County) 919-345-6882
A Briter Community, Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
1027 Hwy 70 West Suite 211 Garner, NC 27529
(Wake County) 919-773-8002
A New Life Services, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1037 Bullard Ct. Suite 208 Raleigh, NC 27615
(Wake County) 919-877-6101
A Peace Of Mind Counseling
Services, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3326 Durham-Chapel Hill Blvd Ste A130 Durham, NC 27707
(Durham County) 919-710-6940
A-1 Care Consultants Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2949 New Bern Avenue Suite 110-B Raleigh, NC 27610
(Wake County) 919-413-1066
Abbe Gorberg
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3041 Settle In Lane Raleigh, NC 27614
(Wake County) 919-345-4175
Abc Pediatrics Of Dunn, Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
104 Tilghman Dr Dunn, NC 28334
(Harnett County) 910-892-1333 www.abcpediatrics.org
104 Tilghman Dr Dunn, NC 28334
(Harnett County) 910-892-1333 www.abcpediatrics.org
Adam Bearman Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
211 E. Six Forks Rd. Suite 201 Raleigh, NC 27609
(Wake County) 919-365-6534
Adeline D Williams Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1303 Silver Drive Mebane, NC 27302
(Alamance County) 919-225-6974
Page: 89 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Adolescent, Child, And Adult
Psychiatry Of Raleigh
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4041 Ed Drive #102/108 Raleigh, NC 27612
(Wake County) 919-783-8377
Adrienne L. Monroe, Lcsw
(Medicaid)
Ages:
Services:
7817 Kennybunk Drive Fayetteville, NC 28304
(Cumberland County)
Advance Empowerment
Community Services, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1008-D Big Oak Ct. Suite 102 & 104 Knightdale, NC 27545
(Wake County) 919-295-1683
Agape & Moore Counseling
Services, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
168 Bennington Drive Raeford, NC 28376
(Hoke County)
Akpaka Consulting And
Psychological Associates, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3716 National Drive Raleigh, NC 27616
(Wake County) 919-327-8997
Alexandria Little Westfall, Ma, Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
115 Market Street Suite 360-F Durham, NC 27704
(Durham County) 919-443-5076
Alisa L. Casciano, Lpc, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
602 E. Academy St. Suite 205 Fuquay Varina, NC 27526
(Wake County) 919-995-4588
Allison Agro Psyd.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
9332 Wooden Road Raleigh, NC 27617
(Wake County) 919-523-8817
Allison C. Ballew Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1502 W. Nc Hwy 54 Ste. 302 Durham, NC 27707
(Durham County) 919-316-0780
Amanda G. Fleishman Wilson, Lcsw (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
107 N Driver St Ste 102 Durham, NC 27703
(Durham County) 919-698-5284
Page: 90 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Amanda J. Brandon Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
867 Fredonia Drive Fayetteville, NC 28311
(Cumberland County) 910-485-6336
1318 Raeford Road #1 Fayetteville, NC 28305
(Cumberland County) 910-485-6336
Amanda Rachel Jones, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
610 W. Peace Street Raleigh, NC 27605
(Wake County) 919-791-9596
Amy E. Mcmann, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
919 Broad Street Durham, NC 27705
(Durham County) 919-257-9634
Amy K. Baker, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
211 E. Six Forks Road Suite 201 Raleigh, NC 27609
(Wake County) 919-923-4648
Amy Swaim Counseling Services
Inc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Road Ste. 161 Raleigh, NC 27612
(Wake County) 919-830-2072
Ancora Counseling Center, Pc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
140 Preston Executive Drive Suite 100k Cary, NC 27513
(Wake County) 919-428-3196
Angela M. Bowers, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1001 Navahoe Drive Suite 209 Raleigh, NC 27609
(Wake County) 919-559-3740
Angela R Edwards Ph.D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2915 Raeford Road Suite 204 Fayetteville, NC 28303
(Cumberland County) 910-850-2335
Anna Johnson Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5135 Morganton Rd Suite 201 Fayetteville, NC 28314
(Cumberland County) 910-502-0544
Anne Boone, Psy D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3622 Lyckan Parkway Ste 4003 Durham, NC 27707
(Durham County) 919-627-8442
Page: 91 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Anne M. Laforce, Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
7704 Cape Charles Drive Raleigh, NC 27617
(Wake County) 919-418-3179
Annette P. Mccullers. Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
316 W Millbrook Rd Suite 101 Raleigh, NC 27609
(Wake County)
Annie L. Shaw Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4109 Wake Forest Road, Suite 300-B Raleigh, NC 27609
(Wake County) 919-720-8461
Anse Daniel, Lmft
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2921 Gross Ave Wake Forest, NC 27587
(Wake County) 954-257-7394
Anthony R Mangiardi Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
2712 Fort Bragg Road Fayetteville, NC 28303
(Cumberland County) 910-978-4750
Anthony Smith Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
6015 Fayetteville Rd Ste 114 Durham, NC 27713
(Durham County) 919-957-7357
Arnold E. Nelson Ph. D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
435 Marshall View Ct. Winston Salem, NC 27101
(Forsyth County) 336-917-3111
Asha Kohli
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2300 Us Hwy 70 West Goldsboro, NC 27533
(Wayne County) 919-736-0203
Ashley G. Turner Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Road 161 Raleigh, NC 27612
(Wake County) 919-784-0205
Page: 92 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Associated Family And Life Services (Medicaid) Ages:
Services: SA
Llc
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3417 S. Alston Ave. Durham, NC 27713
(Durham County) 919-797-2507
2144 Page Road Suite 204 Durham, NC 27703
(Durham County) 919-797-2507
Atul Kantesaria, Md
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2547 Ravenhill Drive Suite 104 Fayetteville, NC 28303
(Cumberland County) 910-433-4463
Avalon Counseling Services P.A.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
916 Arsenal Avenue Fayetteville, NC 28305
(Cumberland County) 910-323-0965
Barbara J. Howell, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
6561 New Market Way Raleigh, NC 27615
(Wake County) 919-830-5515
Barrette Welch Mcfall
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3705 St. Marks Rd Durham, NC 27713
(Durham County)
Behavioral Health Solutions, P.A.
(Medicaid; State) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5318 Highgate Drive Suite 131 Durham, NC 27713
(Durham County) 919-419-0524
Best Life, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2121 Guess Rd Durham, NC 27705
(Durham County) 919-251-8609
Better Beginnings Healthcare
Solutions, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
705 Cumberland St. Fayetteville, NC 28301
(Cumberland County) 910-483-5986
Better Communities, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
502 Mcknight Drive Ste 200 Knightdale, NC 27545
(Wake County) 919-844-7755 www.better-communities.com
Page: 93 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Beverly Currence Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
104 Jones Ferry Road Suite E Carrboro, NC 27510
(Orange County) 919-417-0043
Beverly Linn Pacos, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
230 W. Millbrook Rd Raleigh, NC 27609
(Wake County) 919-872-1405
Bip-Behavior Intervention
Professionals Of The Triangle, Pllc
(Medicaid) Ages:
Services: IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services
223 Country Club Drive Durham, NC 27712
(Durham County) 919-818-3207
Bowman Family Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1788 Heritage Center Drive Suite 104 Wake Forest, NC 27587
(Wake County) 919-556-6501
Brian P Clougherty, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
112 Monticello Ave Durham, NC 27707
(Durham County) 919-672-8223
Brian Purnell Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4922 Windy Hill Drive Suite A Raleigh, NC 27609
(Wake County) 919-454-4039
Cape Fear Behavioral Health
Center, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
6885 Cliffdale Road Suite 202 Fayetteville, NC 28314
(Cumberland County) 910-339-0400
www.capefearbehavioralhealth.com
Capital Area Psychiatric Associates, (Medicaid) Ages:
Services: SA
Pllc
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3126 Blue Ridge Rd Raleigh, NC 27612
(Wake County) 919-237-9081
Caps 4 U Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
201 W. Main Street Suite 202k Durham, NC 27701
(Durham County) 919-680-8833
Page: 94 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Carenet, Inc. Dba Fayetteville
Family Life Center
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
114 Highland Ave. Fayetteville, NC 28305
(Cumberland County) 910-484-0176
805 Westmont Road Fayetteville, NC 28305
(Cumberland County) 910-484-0176
400 Denim Drive Erwin, NC 28339
(Harnett County) 910-484-0176
Caring Hearts Professional
Counseling Services, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
110 E. Main Street Suite 204 Clinton, NC 28328
(Sampson County) 910-299-0848
Carla Lucia Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4010 Barrett Dr Ste 201 Raleigh, NC 27609
(Wake County) 919-345-6103
103-C Kilymayne Dr Cary, NC 27511
(Wake County) 919-345-6103
106 Osterville Dr Holly Springs, NC 27540
(Wake County) 919-345-6103
Carmel G. Sweeney Lcsw, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
356b Raleigh Street Holly Springs, NC 27540
(Wake County) 919-810-7729
Carol A. Martin Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1220 Se Maynard Road Suite 102 Cary, NC 27511
(Wake County) 919-870-0082
Carolina Behavioral Care, Pa
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
209 Millstone Drive Suite A Hillsborough, NC 27278
(Orange County)
www.carolinabehavioralcare.com
289 Olmsted Boulevard Suite 1 Pinehurst, NC 28374
(Moore County)
www.carolinabehavioralcare.com
4102 Ben Franklin Blvd Durham, NC 27704
(Durham County)
www.carolinabehavioralcare.com
Page: 95 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Carolina Counseling Specialists Pllc (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
316 W. Millbrook Road Suite 101 Raleigh, NC 27609
(Wake County) 919-345-8965
Carolina Psychiatry P.C.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
518 Beaumont Road Ste. 102 Fayetteville, NC 28304
(Cumberland County) 910-484-3400 carolinapsychiatry.vpweb.com
Carrie L. Baker, Ph D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
144 Annaron Court Raleigh, NC 27603
(Wake County) 919-889-3719
Catherine Saleska, L.P.A., Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
692b N Spence Ave Goldsboro, NC 27534
(Wayne County) 919-394-5318
Celso B. Lobao, Md, Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
312 W. Millbrook Rd, #121 Raleigh, NC 27609
(Wake County) 919-615-2880
Center For Behavioral Healthcare,
Pa
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
842 South Cox St Asheboro, NC 27203
(Randolph County) 919-776-0303
138 S Steele St Suite P Sanford, NC 27330
(Lee County) 919-776-0303
1105 E Cardinal St Siler City, NC 27344
(Chatham County) 919-776-0303
102 Camp Drive Unit A Pittsboro, NC 27312
(Chatham County) 919-776-0303
Central Community Services
(Medicaid) Ages:
Services: MH
Psychosocial Rehabilitation
101 Industrial Drive Louisburg, NC 27549
(Franklin County) 919-692-1248
Page: 96 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Charlene Mclaurin Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
213 St. Thomas Road Fayetteville, NC 28311
(Cumberland County) 910-767-9622
Charles L Cooper Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
100 Europa Drive Chapel Hill, NC 27517
(Orange County) 919-929-1227
Cheltenham Clinical Services, Pc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
628 Doddington Drive Rolesville, NC 27571
(Wake County) 919-438-7396
Chester M. Martin Dba Biblical
Counseling Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
901 Arsenal Avenue Suite 202 Fayetteville, NC 28305
(Cumberland County) 919-323-3368
Child & Family Counseling Services, (Medicaid) Ages:
Services:
Pllc
Assessment; Counseling/Outpatient Therapy
505 E. Main Street Clayton, NC 27520
(Johnston County) 919-830-5492
Christensen Family Therapy, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1900 S Main St Suite 112 Wake Forest, NC 27587
(Wake County) 919-757-3440
Christopher Ricci, Ph.D., Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8009-104 Creedmoor Rd Raleigh, NC 27613
(Wake County) 919-802-4087
Claudia Collins
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4311 Offshore Drive Raleigh, NC 27610
(Wake County)
Coastal Carolina Neuropsychiatric
Center
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
200 Tarpon Trail Jacksonville, NC 28546
(Onslow County) 910-938-1114
1200 Fairmont Court Fayetteville, NC 28304
(Cumberland County) 910-938-1114
Page: 97 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
117 Beasley Street Kenansville, NC 28349
(Duplin County) 910-938-1114
4384 Fayetteville Road Lumberton, NC 28358
(Robeson County) 910-938-1114
200 Doctors Drive Suite L Jacksonville, NC 28546
(Onslow County) 910-938-1114
Community Care Service, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
6815 Fayetteville Rd Ste 202 Durham, NC 27713
(Durham County) 919-544-3907
Community Connections
Healthcare Services, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
282 West Millbrook Road Raleigh, NC 27609
(Wake County) 919-665-4673
690 North Reilly Road Fayetteville, NC 28303
(Cumberland County) 919-665-4673
Community Helps Network, Llc
(Medicaid) Ages:
Services: MH / SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services
3724 Sycamore Dairy Road Suite 124 Fayetteville, NC 28303
(Cumberland County) 910-321-1637 communityhelpsnetwork.com
112 East Elwood Avenue Raeford, NC 28376
(Hoke County) 910-321-1637 communityhelpsnetwork.com
413 Clinton Avenue Dunn, NC 28334
(Harnett County) 910-321-1637 communityhelpsnetwork.com
Compass Health Systems Of North
Carolina, Pa
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3200 Waterfield Drive Garner, NC 27529
(Wake County) 888-852-6672
Connect Center For Wellness
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
302 E. Pettigrew St Durham, NC 27701
(Durham County) 919-908-9308 www.connectforwellnes.com
Connectivity Counseling Center,
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1608 Ramsey Street Fayetteville, NC 28301
(Cumberland County) 910-829-6157
Page: 98 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Connie Y. Omari
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3737 Glenwood Ave Suite 100 Raleigh, NC 27612
(Wake County) 704-244-9069
Constance Mitchell Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2112 Langdon Rd. Raleigh, NC 27604
(Wake County) 919-559-7300
Coogan Hickey Services, Inc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
16 West Martin St. Suite 401 Raleigh, NC 27601
(Wake County) 919-538-3458 www.aspiringhearts.com
Core Counseling & Consulting Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3712 Benson Drive Raleigh, NC 27614
(Wake County) 919-909-9448
Core Essentials, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
1920 East Nc Hwy 54 Ste 110 Durham, NC 27713
(Durham County) 919-886-6056 www.coreessentialsnc.org
Counseling By Design. Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
405 Morson Street Raleigh, NC 27601
(Wake County) 919-395-1092
Counseling Services Inc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
18 W. Colony Pl. Suite 280 Durham, NC 27705
(Durham County) 919-493-2674
Crystal Sterling Simmons Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
714 9th St Ste 209-209b Durham, NC 27705
(Durham County) 919-213-1389
Cynthia E. Williams Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
9 Ocean Court Durham, NC 27704
(Durham County) 919-672-6664
819 Broad Street Durham, NC 27705
(Durham County) 919-672-6664
Damen Cromwell, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1201 Aversboro Rd Suite 106 Garner, NC 27529
(Wake County) 919-332-9294
Page: 99 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Daphne E. Fuller, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
201 S Mcpherson Church Rd Suite 231 Fayetteville, NC 28303
(Cumberland County) 910-916-6657
David Kirsh, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
819 Broad Street Durham, NC 27705
(Durham County) 919-381-8320
Deal With It Professional
Counseling Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
201 S. Mcpherson Church Road Suite 231 Fayetteville, NC 28303
(Cumberland County) 910-624-6262
Deanna J. Madison Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
103 Fountainhead Lane Fayetteville, NC 28301
(Cumberland County) 910-426-3059
Deborah L. Lindsay, Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
221 Barbour Street Clayton, NC 27520
(Johnston County) 919-810-2890
Debra Eng, Lcsw, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3721 Benson Drive Raleigh, NC 27609
(Wake County) 919-491-3644
Delice Coffey
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1804 Mlk Jr. Pkwy Suite 210 Durham, NC 27707
(Durham County)
Delisa M Hill Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
7751 Acc Blvd Raleigh, NC 27617
(Wake County) 919-667-8499
Destiny Counseling Connection Pllc (Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
210 Peedin Rd Smithfield, NC 27577
(Johnston County) 919-502-9361
Dewberry Graham Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3005 Village Park Drive Knightdale, NC 27545
(Wake County) 919-217-0061
Page: 100 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Discovery Counseling And
Wellness, Pllc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
110 Raleigh St Fuquay Varina, NC 27526
(Wake County) 919-285-4963
www.discoverycounselingandwellness.com
Diverse Wellness Solutions, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3410 Hillsborough Street Raleigh, NC 27607
(Wake County) 919-838-0804
Divine Appointment Counseling
Services, P.A.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
704 S. Wall Street Benson, NC 27504
(Johnston County) 919-894-8002
Douglas M Conrad Md
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4505 Fair Meadow Lane Suite 208 Raleigh, NC 27607
(Wake County) 919-783-5563
Dr. Jamila Battle & Associates, Pa
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
174 Mine Lake Ct Suite 200 Raleigh, NC 27615
(Wake County) 888-312-0127
Dynamic Resources & Guidance,
Inc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5720 Creedmoor Rd Suite 201 Raleigh, NC 27612
(Wake County) 919-946-5852
East Carolina Psychiatric
Consultants, Pllc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
916 Eleventh Street Goldsboro, NC 27534
(Wayne County) 919-735-9119 www.ecpsychiatricconsultants.com
East Wake Counseling And
Consulting, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
106 North First Ave, Suite A Knightdale, NC 27545
(Wake County) 919-332-1819
Eclectic Therapeutic Connection,
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4016 Barrett Drive Raleigh, NC 27609
(Wake County) 919-322-8236
Page: 101 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Edna Williams-Cadichon, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
817 Hillborough St C103 Raleigh, NC 27603
(Wake County) 919-605-7909
Edward A. Rubes Jr. Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
141 Technology Drive Suite K Garner, NC 27529
(Wake County) 919-779-6612
El Futuro, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
136 E. Chapel Hill St Durham, NC 27701
(Durham County) 919-338-1939
136 E Chapel Hill Street Durham, NC 27701
(Durham County) 919-338-1939
110 W Main Street Suite 2h Carrboro, NC 27510
(Orange County) 919-338-1939
319 E Third Street Siler City, NC 27344
(Chatham County) 919-338-1939
Elena Lea Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
100 Europa Drive Suite 260 Chapel Hill, NC 27517
(Orange County) 919-929-1227
Elite Adolescent Care, Inc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
111 Lamon Street Ste 103 Fayetteville, NC 28301
(Cumberland County) 910-483-0324
Elite Biobehavioral Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
405 Guy Walker Way Durham, NC 27703
(Durham County) 800-984-3167
Elizabeth M. Polomik Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8510 Six Forks Road Suite 101 Raleigh, NC 27615
(Wake County) 919-602-8572
Elizabeth Paige Kennedy
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Rd. Ste. 161 Raleigh, NC 27612
(Wake County) 919-784-0205
Page: 102 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Elizabeth Yates Barnard Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
216 West Millbrook Rd Raleigh, NC 27609
(Wake County) 919-805-4334
Emh Counseling & Associates, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
206 Raleigh Street Fuquay Varina, NC 27526
(Wake County) 919-609-0458
Emily M Diaz, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1101 Haynes Street Ste 103a Raleigh, NC 27604
(Wake County) 919-720-6200
Empowerment Specialist Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1900 S. Main Street Suite 112 Wake Forest, NC 27587
(Wake County) 919-961-7458
Eric J. Oleson, Csw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
415 Main St. Hudson, NC 28638
(Caldwell County) 828-726-8265
Erica Turner Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
211 E. Six Forks Road Suite 201 Raleigh, NC 27609
(Wake County) 919-815-5701
Eva M. Miller Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
14 Glenwood Ave Studio 18a Raleigh, NC 27603
(Wake County)
Evelyn Adams Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5011 Southpark Drive Ste 130 Durham, NC 27713
(Durham County) 919-544-8544
Fayetteville Area Health Education (Medicaid) Ages:
Services: SA
Foundation, Inc. Dba Southern
Assessment; Counseling/Outpatient Therapy
Regional Area Health Education
Center
1601 Owen Drive Fayetteville, NC 28304
(Cumberland County) 910-678-7230
Page: 103 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Fayetteville Psychiatric Associates
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2587 Ravenhill Dr. Fayetteville, NC 28303
(Cumberland County) 910-483-3186 www.fayettevillepsych.com
Felicity L. Sanders, Phd
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
2411 Robeson St. Suite 200 Fayetteville, NC 28305
(Cumberland County) 910-609-1990
Fernandez Community Center, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
8522 Six Forks Road Suite 102 Raleigh, NC 27615
(Wake County) 919-900-7438
Foundations Family Therapy Of
North Carolina, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
320 N Judd Pkwy Ste 214 Fuquay Varina, NC 27526
(Wake County) 919-285-4802
Fuquay Family Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
602 E Academy Street Suite 205 Fuquay Varina, NC 27526
(Wake County) 919-412-7321
Geriatric Neuropsychiatry Services, (Medicaid) Ages:
Services: SA
Pllc
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
5407 Sky Lane Drive Durham, NC 27704
(Durham County) 919-682-0323
Gibson Psychoogical Services, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
2504 Raeford Road Suite 110 Fayetteville, NC 28305
(Cumberland County) 910-624-3367
Gina Y. Bussey, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5057 Neuse Commons Lane Raleigh, NC 27616
(Wake County) 919-825-6087
Grace M. Stroud, Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
3948 Browning Place Suite 346 Raleigh, NC 27609
(Wake County) 919-834-2089
Page: 104 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Graham Moore & Clark, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1015 Bristoe Drive Apt 306 Knightdale, NC 27545
(Wake County) 919-710-7332
Gretchen N. Montensanto Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Suite 1 Fayetteville, NC 28305
(Cumberland County) 910-485-6336
Growing Child Pediatrics, Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
11130 Capital Blvd Wake Forest, NC 27587
(Wake County) 919-488-0015
7990 Arco Corporate Dr Raleigh, NC 27617
(Wake County) 919-488-0015
500 Gateway Drive Clayton, NC 27520
(Johnston County) 919-488-0015
270 Horizon Drive Raleigh, NC 27615
(Wake County) 919-488-0015
Harnett Counseling Services, P.C.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1186 North Main Street Lillington, NC 27546
(Harnett County) 910-814-0909
Harris & Company Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5003 Southpark Drive Suite 220 Durham, NC 27713
(Durham County) 919-806-0130
Haymount Institute For
Psychological Services Pllc
(Medicaid) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychiatric Services; Psychological Testing
806 Hay Street Fayetteville, NC 28305
(Cumberland County) 910-860-7008
131 W. Edinborough Avenue Raeford, NC 28376
(Hoke County) 910-860-7008
3507 Hill St Hope Mills, NC 28348
(Cumberland County) 910-860-7008
Healthy Transformations
Counseling, Pc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
107 Se Main Street Suite 217 Rocky Mount, NC 27801
(Edgecombe County) 919-523-2100
Page: 105 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Heidi Herring, Lpc, Lcas
(Medicaid)
Ages:
Services:
Heidi Herring, Lpc, Lcas-174 Bitmore Rd Tabor City, NC 28463
(Columbus County) 910-640-1830
Inner Compass Therapy, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3749 Benson Drive Raleigh, NC 27609
(Wake County) 919-633-7230
Inner Peace Community Support
Services,Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3134 Wendell Blvd. Ste. 4 Wendell, NC 27591
(Wake County) 919-336-6258
Inner Peace Psychological Services (Medicaid) Ages:
Services: SA
And Integrative Wellness Center,
Assessment; Counseling/Outpatient Therapy; Psychiatric
Pllc
Services
102 Towerview Ct Cary, NC 27513
(Wake County) 919-594-6510
Innovations Therapies, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5122 Copper Ridge Drive Suite 304 Durham, NC 27707
(Durham County) 919-593-3340
Insight Behavioral Health, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3308 Durham-Chapel Hill Blvd Suite 130 Durham, NC 27707
(Durham County) 919-824-8756
Insight Family Center Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
5884 Faringdon Place Suite 200 Raleigh, NC 27620
(Wake County) 919-239-4041 www.insightfamilycenter.com
Integrated Behavioral Healthcare
Service, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
2525 Raeford Road Suite C Fayetteville, NC 28305
(Cumberland County) 910-438-0947
Integrated Family Services, Pllc
(Medicaid)
Ages:
Services:
2269 Stantonsburg Rd Greenville, NC 27834
(Pitt County) 252-439-0700
Page: 106 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
James E. Barbee, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
223 Hwy 70 East Suite 150-C Garner, NC 27529
(Wake County) 919-418-0049 garnertherapy.com
James M. Barry Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2018 Ft. Bragg Road Suite 114-A Fayetteville, NC 28303
(Cumberland County) 910-670-3223
James M. Gibson Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
106 Ridgeview Drive Suite D Cary, NC 27511
(Wake County) 919-467-9995
James T. Barker Ii, Md
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
24 2nd Avenue Ne Hickory, NC 28601
(Catawba County) 828-324-9900
James Thomas Smith Psy.D.
(Medicaid) Ages:
Services: IDD
Innovations Services
217 Union Street Cary, NC 27511
(Wake County) 919-454-3120
Jamila C. Hall, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
9 Windsor Glen Drive Durham, NC 27703
(Durham County) 919-358-8570
Jane H Ross Psy.D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3622 Lyckan Pkwy Ste 4003 Durham, NC 27707
(Durham County) 919-490-8473
Janet L. Mittman, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3912 Linden Ter. Durham, NC 27705
(Durham County) 919-593-6485
Jay Synn, Md, Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
24 Second Avenue, Ne, Suite 201 Hickory, NC 28601
(Catawba County) 828-324-9900
Page: 107 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Jeffrey C. Pearce M.Ed
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4922 Windy Hill Drive Suite A Raleigh, NC 27609
(Wake County) 919-781-8161
Jeffrey R. Chambers, Md, Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3308 Durham Chapel Hill Blvd Suite 131 Durham, NC 27707
(Durham County) 919-490-9787
4016 Barrett Dr Suite 104 Raleigh, NC 27609
(Wake County) 919-490-9787
Jessica Artis, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
211 E Six Forks Road Suite 201 Raleigh, NC 27609
(Wake County) 919-602-9493
Joanna P. Evans Lcsw Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1145a Executive Circle Cary, NC 27511
(Wake County) 919-434-6147
Joanne M. Schaffer Msw Lcsw Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1618 Us Highway 1 N Youngsville, NC 27596
(Franklin County) 919-562-9922
Jo-Anne V. Ludwig Lpc Lcas Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8305 Castine Court Raleigh, NC 27613
(Wake County) 919-593-7748
Johanna Kane, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4913 Professional Court Suite 8 Raleigh, NC 27609
(Wake County) 919-710-9745
John O'Donoghue Lmft
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4010 Barrett Drive Suite 201 Raleigh, NC 27609
(Wake County) 919-341-2477 www.johnodonoghuetherapy.com
Johnston Psychiatric Associates,
P.A.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2076 Nc Highway 42 West Suite 220 Clayton, NC 27520
(Johnston County) 919-550-3323
Page: 108 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Joseph H. Tooley, Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
106 Ridgeview Drive Suite D Cary, NC 27511
(Wake County) 919-467-2464
Joy Casey Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
141 K Technology Drive Garner, NC 27529
(Wake County) 919-779-6612
Jrm Counseling Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5102b Oak Park Rd. Raleigh, NC 27612
(Wake County) 919-272-6932 www.amwoodson.com
Juanita C. Perkins, Np
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1003 West Chapel Hill Street Durham, NC 27701
(Durham County) 919-794-8273
Judith A. Grich Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
146 Wind Chime Court Raleigh, NC 27615
(Wake County) 919-825-1285
122 W Vernon Ave Wake Forest, NC 27587
(Wake County) 919-825-1285
Julie Anne Hovrud
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4010 Barrett Drive, Suite 201 Raleigh, NC 27609
(Wake County) 919-810-0858
Kamilah Jones Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
223 Hwy 70 East Suite 150-H Garner, NC 27529
(Wake County) 919-374-0037 www.kamilahjone-therapy.com
410 N. Boylan Ave. Raleigh, NC 27603
(Wake County) 919-374-0037 www.kamilahjone-therapy.com
Karen Lopez, Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1540 Purdue Drive Suite 200 Fayetteville, NC 28303
(Cumberland County) 702-251-8000
2915 Raeford Road Suite 100 Fayetteville, NC 28303
(Cumberland County) 702-251-8000
Page: 109 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Karl H Stanley Jr Md
(Medicaid)
Ages:
Services:
808 Neuse Ridge Drive Clayton, NC 27527
(Johnston County) 919-635-3344
Katherine R. Bredehoeft Phd Llp
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
103 Fountainhead Lane Fayetteville, NC 28301
(Cumberland County) 910-826-4500
7404 Chapel Hill Road Suite A Raleigh, NC 27607
(Wake County) 910-826-4500
Kathryn Walsh Honeyman, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
146 Wind Chime Ct 2nd Floor Raleigh, NC 27615
(Wake County) 919-602-8433
Kathy A. Houlihan Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8705 Windjammer Drive Raleigh, NC 27615
(Wake County) 919-277-0253
Katrice Rankin Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
915 Bingham Drive Fayetteville, NC 28304
(Cumberland County) 919-437-4667
Kelly A. Brown, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
301 Kilmayne Dr. Suite 204 Cary, NC 27511
(Wake County) 919-815-1382
602 E. Academy St. Suite 205 Fuquay Varina, NC 27526
(Wake County) 919-815-1382
Kelly K. Anthony Phd Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
5015 South Park Drive Ste 200 Durham, NC 27713
(Durham County) 919-794-5501
Kimberly E. Williams Lcsw Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Road Suite 161 Raleigh, NC 27612
(Wake County) 919-784-0205
Ladonna Clark, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2949 New Bern Ave Raleigh, NC 27610
(Wake County) 919-212-8156
Page: 110 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Lakshmi S. Kamaraju, Md
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4108 Amesbury Lane Durham, NC 27707
(Durham County) 919-641-4215
115 N Duke Street Suite 1-B Durham, NC 27701
(Durham County) 919-641-4215
3643 N. Roxboro Street Durham, NC 27704
(Durham County) 919-641-4215
Laura Anne Yates Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Fayetteville, NC 28305
(Cumberland County)
Laura E. Burnham Lpc, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2529 Raeford Road Suite C Fayetteville, NC 28305
(Cumberland County) 910-689-3524
Laura M. Barry Msw Lcsw Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2018 Ft. Bragg Road Suite 114-A Fayetteville, NC 28303
(Cumberland County) 910-485-0940
www.marriageandfamilycounselingnc.com
Lawrence A. Ellsworth, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
216 West Millbrook Rd Raleigh, NC 27609
(Wake County) 919-815-4984
Lawrence Andrew Champion Md
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2609 N Duke St Suite 306 Durham, NC 27704
(Durham County) 919-241-4613
Leslie M Hardy Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
809 Spring Forest Rd Suite 1000 Raleigh, NC 27609
(Wake County) 919-981-7373
Let's Talk Therapy Services, Inc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4001 Cumberland Rd. Suite A Fayetteville, NC 28306
(Cumberland County) 910-339-6761 letstalkservices.com
Page: 111 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Life Coach Counseling Center, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1501 Lakestone Village Lane Suite 205 B Fuquay Varina, NC 27526
(Wake County) 919-753-5906
Life Foundations Wellness And
(Medicaid) Ages:
Services:
Supportive Counseling Services, Llc Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1410 West Chapel Hill Street Durham, NC 27701
(Durham County) 919-949-8539
Life Resources Of Nc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
183 Wind Chime Ct Suite 100 Raleigh, NC 27615
(Wake County) 919-896-8520 www.lrofnc.com
Lifetime Counseling Service Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
916 Arsenal Avenue Suite B Fayetteville, NC 28305
(Cumberland County) 910-864-0390
Lisa V Wachter Ms Lpc Ncc Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4086 Barrett Dr Raleigh, NC 27609
(Wake County) 919-413-5701
Little Wing Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
21 West Colony Place suite 250 Durham, NC 27705
(Durham County) 919-260-3345
Living Well Behavioral Health
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
127 Us Highway 70 West Garner, NC 27529
(Wake County) 910-426-3059
Lori Krauss
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3211 Rogers Rd. Suite 206 Wake Forest, NC 27587
(Wake County) 919-438-1161
Lucy Daniels Center For Early
Childhood
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
9003 Weston Pkwy Cary, NC 27513
(Wake County) 919-677-1459
Page: 112 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Lutrino M. Blalock Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
312 West Millbrook Rd Suite 137 Raleigh, NC 27609
(Wake County)
Mabel Stellato Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Suite 1 Fayetteville, NC 28305
(Cumberland County) 919-910-6336
Malik Muhammad Phd Cp
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
405 Guy Walker Way Durham, NC 27703
(Durham County) 800-984-3167
Manijeh Boustani, Ph. D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
602 Oak Tree Drive Chapel Hill, NC 27517
(Orange County) 919-656-3589
Manish A Fozdar Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4700 Falls Of Neuse Rd Ste 250 Raleigh, NC 27609
(Wake County) 919-322-1954
Manpreet Lehal, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
602 E. Academy Street Suite 205 Fuquay Varina, NC 27526
(Wake County) 919-285-1818
Marcelo E. Lopez-Claros Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
871 Washington Street Raleigh, NC 27605
(Wake County) 919-414-7161
Margaret Glazewska-Newhart Lcsw (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3900 Barrett Drive 311-E Raleigh, NC 27609
(Wake County) 919-272-7518
Marina L Ervin, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
502-N East Cornwallis, Suite B Greensboro, NC 27405
(Guilford County) 336-681-1086
Page: 113 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Mark Chandler Md
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3713-B University Dr Durham, NC 27707
(Durham County) 919-401-6212
Mark R. Stroeh, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1501 Bungalow Ave. Durham, NC 27703
(Durham County) 919-414-4603
Martin Weinrauch Md
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2850 Village Drive Suite 104 Fayetteville, NC 28304
(Cumberland County) 910-483-4687
Mary Elizabeth Stallings Pippin
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
221 Barbour Street Clayton, NC 27520
(Johnston County) 919-971-3092
Matthew J Conner Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
115 N Duke Street Suite 1-B Durham, NC 27701
(Durham County) 919-286-3453
Melissa M. Penwell, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
102 Commonwealth Court Suite H Cary, NC 27511
(Wake County) 919-319-1163
Mindful Bodies, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
908 Bowler Drive Durham, NC 27703
(Durham County) 919-812-3172
Miranda Morgan Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
21 West Colony Place suite 250 Durham, NC 27705
(Durham County) 919-698-2442
Monica E. Summers, Psy.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1616 Evans Road Suite 202 Cary, NC 27513
(Wake County) 919-678-0808
Page: 114 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Monique Brown, M.D., P.C.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
154 Sw Main Street Rocky Mount, NC 27804
(Nash County) 252-937-3022
Monique S. Goodson-Johnson, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
616 Hay River Street Garner, NC 27529
(Wake County) 919-235-5887
Nan Allen And Associates, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
16 W. Martin Street Suite 307 Raleigh, NC 27601
(Wake County) 919-345-4830
Natalie C. Fewell, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
318 Lionshead Rd. Fayetteville, NC 28311
(Cumberland County) 919-812-7363
5135 Morgnaton Rd Ste 201 Rm 109 Fayetteville, NC 28314
(Cumberland County) 919-812-7363
Nathan Strahl, Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3326 Durham Chapel Hill Blvd Durham, NC 27707
(Durham County) 919-810-3345
Nc Children's Victim Center
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
1106 W Cornwallis Rd Suite 103 Durham, NC 27705
(Durham County) 919-413-7702
Nc Therapy & Counseling Services
Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
916 Arsenal Avenue Suite B Fayetteville, NC 28305
(Cumberland County) 910-339-2663
New Beginnings Counseling
Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1518 S. Horner Boulevard Sanford, NC 27330
(Lee County) 919-718-1597
200 Sanford Road Suite 2 Pittsboro, NC 27312
(Chatham County) 919-718-1597
New Day Counseling Services, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3737 Junction Blvd. Raleigh, NC 27603
(Wake County) 919-673-7809
Page: 115 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
New Leaf Behavioral Health
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3725 National Dr. Ste 220 Raleigh, NC 27612
(Wake County) 919-781-8370 https://nibh.org
Norman L. Collins Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
6245 Cliffdale Road Fayetteville, NC 28314
(Cumberland County) 910-488-3615
One-Eighty Counseling, Pa
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
109 Professional Court Suite 103 Garner, NC 27529
(Wake County) 919-772-1990
Onipa Psychological And
Consulting Services, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2011 Poole Road Raleigh, NC 27610
(Wake County) 919-231-2109
Onsite Care, Pllc
(Medicaid) Ages:
Psychiatric Services
Services:
10130 Perimeter Pkwy Ste 200 Charlotte, NC 28216
(Mecklenburg County) 888-849-7379
Oscar R Franco Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2915 Raeford Rd Suite 204 Fayetteville, NC 28303
(Cumberland County) 910-850-2335
Our Treatment Center, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
800 St. Mary's Street Suite 204 Raleigh, NC 27605
(Wake County) 919-601-1313
Pamela Pearman Smith
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2 Cobbleridge Ct. Durham, NC 27713
(Durham County) 919-844-1008
Patricia A. Bowery Phd
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
320 N. Judd Parkway Suite 200 Fuquay Varina, NC 27526
(Wake County) 919-521-0814
Patricia Bock Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
9933 Highway 70 E Clayton, NC 27520
(Johnston County) 919-607-9087
Page: 116 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Patricia Hanley, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Suite 1 Fayetteville, NC 28305
(Cumberland County) 910-485-6336
Patricia J. Tuohy
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
302 E. Church Street Benson, NC 27504
(Johnston County) 910-701-1048
Paula S. Newman Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1058 W. Club Blvd Suite 626 Durham, NC 27701
(Durham County) 919-730-1107
Peace By Piece Counseling Services (Medicaid) Ages:
Services:
Pllc
Assessment; Counseling/Outpatient Therapy
187 Windchime Ct. Suite 204 Raleigh, NC 27615
(Wake County) 919-524-4156
Peace Of Mind Inc.
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
817 West Front Street Lillington, NC 27546
(Harnett County) 910-814-2197
Petals C. Rainey Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1317 Ujamaa Drive Raleigh, NC 27610
(Wake County) 919-961-1610
Pinnacle Counseling Services Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
106 W Church St suite H Creedmoor, NC 27522
(Granville County) 919-885-4046
Pius N. Nyutu, Ph. D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road, Suite 1 Fayetteville, NC 28311
(Cumberland County) 910-485-6336
Priya Sheth, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
112 Kilmayne Drive Cary, NC 27511
(Wake County) 919-917-3171
106 Osterville Drive Holly Springs, NC 27540
(Wake County) 919-917-3171
Prominence Consulting &
Therapeutic Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4909 Waters Edge Drive Suite 204 Raleigh, NC 27606
(Wake County) 919-841-8679
Page: 117 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Psychiatric Consultants Of Cary,
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
200 Keisler Drive Suite A Cary, NC 27518
(Wake County) 919-967-6646
Psychological Medicine Clinic Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1810 Westwood Avenue Wilson, NC 27893
(Wilson County) 252-291-6200
Psychological Mobile Services, Pa
(Medicaid) Ages:
Services: IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychological Testing
2401 Wooten Blvd Suite K Wilson, NC 27893
(Wilson County) 252-291-0735
105 S Ellington St Clayton, NC 27520
(Johnston County) 252-291-0735
Purple Lotus Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
111 Windel Drive Suite 205 Raleigh, NC 27609
(Wake County) 919-610-5172
Rachel M. Marshall, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Road Suite 161 Raleigh, NC 27610
(Wake County) 919-866-2181
Raleigh Psychological Associates,
Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
122 West Vernon Avenue Wake Forest, NC 27587
(Wake County) 919-274-4476
Randy Robinson, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
801 Gilbert Street Ste 213 Durham, NC 27701
(Durham County) 919-265-3119
Rebecca E Quirk Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5313 Easthorpe Dr Raleigh, NC 27613
(Wake County) 919-397-5187
Rebecca F. Barker Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3749 Benson Drive Raleigh, NC 27609
(Wake County) 919-633-7230
Page: 118 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Regina Kelly, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2712 Fort Bragg Rd Fayetteville, NC 28303
(Cumberland County) 910-920-0008
Regina Wesley Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5851 Ramsey Street Fayetteville, NC 28311
(Cumberland County) 910-850-4845
Reliable Health Services, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
1020 South Miami Blvd Suite 107 Durham, NC 27703
(Durham County) 919-596-9479
Revive Therapeutic Services Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3900 Barrett Drive Raleigh, NC 27609
(Wake County) 919-454-9353
Rhema Counseling And Support
Svcs
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy
5317 Highgate Drive Suite 214 Durham, NC 27713
(Durham County) 919-544-1300 www.rhemacss.com
Richard R. Zeiber Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2545 Ravenhill Drive Suite 100 Fayetteville, NC 28303
(Cumberland County) 336-603-4316
Richwood Consulting Group, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
839 C Durham Hwy Suite C Wake Forest, NC 27587
(Wake County) 919-801-0337
Robert M James Jr Ph.D. Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
6208 Fayetteville Rd Suite 106 Durham, NC 27713
(Durham County) 919-317-1449
Robert W. Slemmer Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
236 Butternut Lane Clayton, NC 27520
(Johnston County) 919-624-6749
Robin E. T. Woods Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
602 E. Academy Street Suite 203 Fuquay Varina, NC 27526
(Wake County) 919-673-2394
Page: 119 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Rochelle R. Evans Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
106 Ridgeview Dr. Ste. D Cary, NC 27511
(Wake County) 704-860-1946
Rosemary Nelson Phd
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
435 Marshall View Ct Winston Salem, NC 27101
(Forsyth County) 336-917-3111
Rosine L. Sanders
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3900 Barrett Drive Suite 311-H Raleigh, NC 27609
(Wake County) 919-332-4114
Rumbaugh Family Treatment
Center, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1617-B Owen Drive Fayetteville, NC 28304
(Cumberland County) 910-484-3330
Ruth K. Morgans Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
157 West Street Pittsboro, NC 27312
(Chatham County) 919-337-3947
Safe Haven Child & Family
Counseling Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4822 Albemarle Road Suite 202 Charlotte, NC 28205
(Mecklenburg County) 704-763-9555
Sage Institute Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
316 N. Poplar Street Aberdeen, NC 28315
(Moore County) 910-585-3407
1002 Vandora Springs Road Ste. 116 Garner, NC 27529
(Wake County) 910-585-3407
Sandhills Behavioral Center, Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
402 Harris Avenue Raeford, NC 28376
(Hoke County) 910-848-1638 www.sandhillsbc.com
Sandhills Physician Of Mental
Health Clinic, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4155 Ferncreek Dr. Suite 102a Fayetteville, NC 28314
(Cumberland County) 910-491-2636
Page: 120 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Sara Mccartney Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
201 South Mcpherson Church Rd Ste 210 Fayetteville, NC 28303
(Cumberland County) 910-257-5083
Sarah A. Lanza, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1401 Ravensthorpe Drive Fuquay Varina, NC 27526
(Wake County) 919-924-1221
Scott T Schell Md Pa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2545 Raven Hill Drive Suite 105 Fayetteville, NC 28303
(Cumberland County) 910-433-4446
Settle Counseling And
Consultation, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
232 Gilmer St. Suite 206 Reidsville, NC 27320
(Rockingham County) 336-589-4604
Sherisse K. Bailey Lpc, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4002 Twin Spires Dr. Knightdale, NC 27545
(Wake County) 919-829-1337
Sherman Boone Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1220 Southgate Dr Raleigh, NC 27610
(Wake County) 919-623-5502
Shk,Pllc Dba Solomon Kobes, Lcsw (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
101 Connor Drive Ste 203 Chapel Hill, NC 27514
(Orange County) 919-240-5548
Solaz, Llc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
8522 Six Forks Road Suite 102 Raleigh, NC 27615
(Wake County) 919-900-7438
Solution Focused Services, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2949 New Bern Avenue Suite 110-B Raleigh, NC 27610
(Wake County) 919-609-6760
Sonia Rhodie, Ph. D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2915 Raeford Road Fayetteville, NC 28303
(Cumberland County) 910-850-2335
Page: 121 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Sound Minds Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5511 Ramsey Street Suite 201-A Fayetteville, NC 28311
(Cumberland County) 910-630-6463
Southern Wake Counseling Center
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
320 N. Judd Parkway Suite 200 Fuquay Varina, NC 27526
(Wake County) 919-247-8839
Sozo Life And Wellness Center, Pllc (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1800 Martin Luther King Pkwy Suite 201 Durham, NC 27707
(Durham County) 919-695-3943
Square One Counseling Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
505 Owen Drive Suite B Fayetteville, NC 28304
(Cumberland County) 910-483-0005
Stacey S. Drake, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
221 Barbour Street Clayton, NC 27520
(Johnston County) 919-550-0500
8520-104 Six Forks Rd Raleigh, NC 27615
(Wake County) 919-550-0500
Stephanie D. Phillips Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
9313 Foxburrow Court Raleigh, NC 27613
(Wake County) 919-219-6256
Stephanie H. Best, Ph.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
302 E. Church Street Benson, NC 27504
(Johnston County) 919-701-1048
Steven Roi Edelman Lpa
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
907 Hay Street Suite 203 Fayetteville, NC 28305
(Cumberland County) 910-578-4598
Stonebridge Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
800 W. Williams Street Suite 231-P Apex, NC 27502
(Wake County) 919-434-6398
Page: 122 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Susan Ehrlich Lcsw, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5613 Duraleigh Road Suite 161 Raleigh, NC 27612
(Wake County) 919-784-0508
Tanya J. Guinn, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4909 Waters Edge Dr. Suite 100 Raleigh, NC 27606
(Wake County) 919-961-2147
Tara M. Russian, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Suite 1 Fayetteville, NC 28305
(Cumberland County) 910-485-6336
Terra C. Caudill, Md, Ms, Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
24 2nd Avenue Ne Ste 201 Hickory, NC 28601
(Catawba County) 828-324-9900
The Behavioral & Spiritual
Transformation Expierence, Pc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8522 Six Forks Road Suite 104 Raleigh, NC 27617
(Wake County) 919-322-0831
The Center For Child And Family
Health, Inc.
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
411 West Chapel Hill Street Durham, NC 27701
(Durham County) 919-419-3474
The Mindly Group, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
7000 Harps Mill Rd Suite 102 Raleigh, NC 27615
(Wake County) 919-923-8752
The Neuropsychology Consultants
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
3824 Barrett Drive Suite 101 Raleigh, NC 27609
(Wake County) 919-785-9944
The Seed Planter Coaching &
Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
314 W. Millbrook Rd Suite 21 Raleigh, NC 27609
(Wake County) 919-995-8452 www.the-seed-planter.com
Page: 123 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Thelma M. Cherry, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
5928 Abbington Way Raleigh, NC 27610
(Wake County) 240-694-6103
723 W. Johnson Street Suite 200 Raleigh, NC 27604
(Wake County) 240-694-6103
Therapeutic Family Solutions
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
610 Peace Street Raleigh, NC 27605
(Wake County) 919-740-2909
Therapeutic Partners, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
7406-F Chapel Hill Road Raleigh, NC 27607
(Wake County) 919-233-7360 www.theraputicpartners.com
Therapeutic Resource Associates,
Pa
(Medicaid) Ages:
Services: IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services; Psychological Testing
1618 Us Hwy 1 North Youngsville, NC 27596
(Franklin County) 919-247-4750
Thomas J Harbin Phd
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2411 Robeson St Suite 200 Fayetteville, NC 28305
(Cumberland County) 910-609-1990
Thomas K. Mckean, Md, Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
24 Second Avenue, Ne Hickory, NC 28601
(Catawba County) 828-324-9900
Tiffany Sheree Shaw Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Rd Suite 1 Fayetteville, NC 28305
(Cumberland County) 910-261-4635
Tonya D. Armstrong, Pllc Dba The
Armstrong Center For Hope
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
5315 Highgate Drive Suite 102 Durham, NC 27713
(Durham County) 919-418-1718
Traciann W. Pirri, Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8510 Six Forks Road Suite 101 Raleigh, NC 27615
(Wake County) 919-368-5921 www.TraciPirriTherapy.com
Page: 124 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Triangle Counseling Agency
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
4913 Professional Court Suite 11 Raleigh, NC 27609
(Wake County) 919-277-0253
Tricare Counseling & Consulting,
Inc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
731 Tilghman Dr. Dunn, NC 28334
(Harnett County) 910-249-4219 www.tricarecounseling.com
Troy T. Kane, Lpc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4913 Professional Court Suite 11 Raleigh, NC 27609
(Wake County) 919-217-0253
True Living Counseling Services
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1812 Becketts Ridge Drive Hillsborough, NC 27278
(Orange County) 919-919-2411
Two Paths Crossing Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
3812 Rocking Robyn Run Knightdale, NC 27545
(Wake County) 919-218-5917
Valerie A. Wilson
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
823 Elm Street, Suite 207 Fayetteville, NC 28303
(Cumberland County) 910-678-2088
Velvet D. Beckwith, Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
3401 Wendell Blvd. Wendell, NC 27591
(Wake County) 252-366-1945
Verna Dority Lcsw
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Road Suite 1 Fayetteville, NC 28305
(Cumberland County) 910-485-6336
Verna Dority, Msw,Ccsw Inc.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1318 Raeford Rd. Ste. 1 Fayetteville, NC 28311
(Cumberland County) 910-849-4419
Page: 125 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Veronica Crawley, Ma, Lpc, Ncc,
Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
721a Davis Avenue Whiteville, NC 28472
(Columbus County) 919-770-1686
Vinson Counseling Services Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
8005 Wynewood Drive Raleigh, NC 27616
(Wake County) 919-274-1187
Virginia Fee Ph.D.
(Medicaid) Ages:
Services: IDD
Assessment; Counseling/Outpatient Therapy; Innovations
Services
Virginia Fee-2905 Chipmunk Ln 2905 Chipmunk Ln Raleigh, NC 27607
(Wake County) 919-673-9433
Voice Therapeutic Solutions Pllc
(Medicaid) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3712 Benson Dr Suite 202 Raleigh, NC 27609
(Wake County) 919-452-1577
Vonda Dionne Jones-Hudson Ph.D
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2915 Raeford Rd Suite 204 Fayetteville, NC 28303
(Cumberland County) 910-850-2335
Wake Forest Counseling
Associates, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
853-1 Wake Forest Business Park Suite I Wake Forest, NC 27587
(Wake County) 919-554-4027
Wake Psychological Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1612 Barony Lake Way Raleigh, NC 27614
(Wake County) 919-308-8470
Wake Renewal Counseling, Pllc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
1008 F. Big Oak Ct. Knightdale, NC 27545
(Wake County) 919-520-9392
Washington White Lpc Lcas
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
930 Cambridge St Ste A Fayetteville, NC 28303
(Cumberland County) 910-483-1075
Page: 126 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Licensed Independent Practictioners (LIPs)
Western Wake Counseling And
Psychological Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychological
Testing
8000 Regency Pkwy Ste 570 Cary, NC 27518
(Wake County) 919-467-3831 www.wwcounseling.com
William P. Keeton, Psy.D.
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
2411 Robeson Street Suite 200 Fayetteville, NC 28305
(Cumberland County) 910-609-1990
William Roger Powell Lpcs
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
817 West Front Street Lillington, NC 27546
(Harnett County) 910-814-2197
William Y Carlton, Md
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2200 Silas Creek Pkwy Ste 1-A Winston Salem, NC 27103
(Forsyth County) 336-722-7300
Winford Brown-Ramseur &
Associates, Llc
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy
4680 Brownsboro Rd Building D Winston Salem, NC 27106
(Forsyth County) 704-349-3789
Winston Psychiatric Associates, Pa (Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
125 Ashleybrook Square Winston Salem, NC 27103
(Forsyth County) 336-765-6577
Page: 127 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
Alamance Regional Medical Center (Medicaid)
Ages:
Services:
1240 Huffman Mill Rd Burlington, NC 27215
(Alamance County) 336-538-8460
Behavioral Healthcare Of Cape Fear (Medicaid) Ages:
Services: SA
Valley Health
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
711 Executive Place-3rd Floor Fayetteville, NC 28305
(Cumberland County) 910-615-3734
Broughton State Hospital
(Medicaid)
Ages:
Services:
1000 South Sterling St Morganton, NC 28655
(Burke County)
Brynn Marr Hospital, Inc.
(Medicaid) Ages:
Services: IDD
Child Residential Services; Residential Services
192 Village Dr Jacksonville, NC 28546
(Onslow County) 910-577-1400 www.brynnmarr.org
192 Village Drive Jacksonville, NC 28546
(Onslow County) 910-577-1400 www.brynnmarr.org
Carolinaeast Medical Center
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2000 Neuse Blvd New Bern, NC 28560
(Craven County) 252-633-8640
Central Regional Hospital
(Medicaid; State) Ages:
Inpatient Services
Services:
300 Veazey Rd. Butner, NC 27509
(Granville County)
Chatham Professional Group
(Medicaid)
Ages:
Services:
475 Progress Boulevard Siler City, NC 27344
(Chatham County)
Cherry Hospital
(Medicaid)
Ages:
Services:
201 Stevens Mill Rd. Goldsboro, NC 27530
(Wayne County)
Cumberland County Hospital
System, Inc. Dba Cape Fear Valley
Health System
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Inpatient Services ; Psychiatric Services; Psychological Testing
1724 Roxie Avenue Fayetteville, NC 28304
(Cumberland County) 910-615-3741 capefearvalley.com
Page: 128 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
1638 Owen Drive Fayetteville, NC 28304
(Cumberland County) 910-615-3741 capefearvalley.com
711 Executive Place 3rd Floor Fayetteville, NC 28305
(Cumberland County) 910-615-3741 capefearvalley.com
1724 Roxie Ave 2nd Floor Fayetteville, NC 28304
(Cumberland County) 910-615-3741 capefearvalley.com
150 Robeson Street Fayetteville, NC 28301
(Cumberland County) 910-615-3741 capefearvalley.com
Duke University Affiliated
Physicians, Inc.
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2406 Blue Ridge Rd Ste 250 Ra, NC 27607
(Durham County)
Duke University Health System Durham Regional
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3643 Roxboro Durham, NC 27704
(Durham County)
Duke University Health System Inpat State
(State) Ages:
Services:
Inpatient Services
Dumc Box 3667 Durham, NC 27710
(Durham County)
www.dukehealth.org
2301 Erwin Rd Durham, NC 27710
(Durham County) 919-681-7453 www.dukehealth.org
3643 North Roxboro Street Durham, NC 27704
(Durham County) 919-613-8981 www.dukehealth.org
3400 Wake Forest Rd Raleigh, NC 27609
(Wake County)
www.dukehealth.org
Duke University Health System Med Inst
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2301 Erwin Rd Durham, NC 27705
(Durham County)
Duke University Health System Med Prof
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
2301 Erwin Rd Durham, NC 27705
(Durham County)
3400 Wake Forest Rd Raleigh, NC 27609
(Wake County)
Page: 129 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
Firsthealth Of The Carolinas, Inc
Dba Firsthealth Moore Regional
Hospital
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
155 Memorial Dr. Pinehurst, NC 28374
(Moore County) 910-715-3370
Frye Regional Medical Center, Inc.
(Medicaid)
Ages:
Services:
1 3rd Avenue Hickory, NC 28601
(Catawba County) 828-315-5594 www.fryemedctr.com
Good Hope Hospital
(Medicaid)
Ages:
Services:
410 Denim Drive Erwin, NC 28339
(Harnett County) 910-230-4011
Halifax Regional Medical Center
(Medicaid)
Ages:
Services:
250 Smith Church Rd Roanoke Rapids, NC 27870
(Halifax County) 252-535-8147
Holly Hill Hospital, Llc
(Medicaid; State) Ages:
Inpatient Services
Services:
3019 Falstaff Rd Raleigh, NC 27610
(Wake County)
hollyhillhospital.com
3019 Falstaff Rd Raleigh, NC 27610
(Wake County) 919-250-7186 hollyhillhospital.com
Johnston Memorial Hospital
Authority Dba Johnston Health
(Medicaid; State) Ages:
Inpatient Services
Services:
2138 Nc Hwy 42 West Clayton, NC 27520
(Johnston County) 919-938-7155
509 North Brightleaf Blvd Smithfield, NC 27577
(Johnston County) 919-938-7155
Keystone Wsnc, Llc Dba Old
Vineyard Behavioral Health
Services
(Medicaid)
Ages:
Services:
3637 Old Vineyard Rd Winston Salem, NC 27104
(Forsyth County) 336-794-6165 www.oldvineyardbhs.com
Mcpc-11, Llc Dba Firsthealth
Behavioral Services
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
35 Memorial Drive Pinehurst, NC 28374
(Moore County) 910-715-7956
Page: 130 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
Nash Hospitals, Inc.
(Medicaid)
Ages:
Services:
2301 Medpark Drive Rocky Mount, NC 27804
(Edgecombe County) 252-962-5441 www.nhcs.org
North Carolina Baptist Hospital
(Medicaid)
Ages:
Services:
Medical Center Boulevard Winston Salem, NC 27157
(Forsyth County)
Novant Health Forsyth Medical
Center
(Medicaid) Ages:
Services: MH
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
3333 Silas Creek Parkway Winston Salem, NC 27103
(Forsyth County) 336-277-1133
Novant Health Franklin Medical
Center
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
100 Hospital Drive Louisburg, NC 27549
(Franklin County) 919-497-8056
Novant Health Presbyterian
Medical Center
(Medicaid) Ages:
Services: MH
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
200 Hawthorne Ln Charlotte, NC 28204
(Mecklenburg County)
Novant Health Rowan Medical
Center
(Medicaid) Ages:
Services: MH
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
612 Mocksville Avenue Salisbury, NC 28144
(Rowan County) 336-277-1133
Novant Health Thomasville Medical (Medicaid) Ages:
Services: MH
Center
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
207 Old Lexington Road Thomasville, NC 27360
(Davidson County) 336-277-1133
Pitt County Memorial Hospital Dba (Medicaid)
Vidant Medical Center
Ages:
Services:
2100 Stantonsburg Greenville, NC 27834
(Pitt County)
Private Diagnostic Clinic, Pllc
(Medicaid) Ages:
Services: MH / SA
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services; Psychological Testing
40 Duke Medicine Circle Durham, NC 27710
(Durham County)
Page: 131 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
Southeastern Regional Medical
Center
(Medicaid) Ages:
Services: MH
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
300 West 27th Street Lumberton, NC 28359
(Robeson County) 910-671-5000
Statesville Hma, Llc Dba Davis
Regional Medical Center
(Medicaid) Ages:
Services:
Assessment; Counseling/Outpatient Therapy; Psychiatric
Services
218 Old Mocksville Rd Statesville , NC 28625
(Surry County)
The Moses H. Cone Memorial
Hospital Operating Corporation
(Medicaid)
Ages:
Services:
700 Walter Reed Drive Greensboro, NC 27403
(Guilford County) 336-832-7786
Unc Faculty Physicians
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Psychiatric Services; Psychological Testing
101 Manning Drive Chapel Hill, NC 27514
(Orange County)
Unc Hospital
(Medicaid; State) Ages:
Services: SA
Assessment; Counseling/Outpatient Therapy; Crisis Services;
Inpatient Services ; Psychiatric Services
101 Manning Drive Chapel Hill, NC 27514
(Orange County) 919-966-0415 www.unchealthcare.org
111 Sunnybrook Road Raleigh, NC 27610
(Wake County) 919-966-0415 www.unchealthcare.org
107 Sunnybrook Road Suite A Raleigh, NC 27610
(Wake County) 984-974-4801 www.unchealthcare.org
107 Sunnybrook Road Suite B Raleigh, NC 27610
(Wake County) 984-974-4800 www.unchealthcare.org
Unc Teacch
(Medicaid; State) Ages:
Services: SA / IDD
Assessment; Counseling/Outpatient Therapy; I/DD Supports;
Innovations Services; Psychiatric Services; Psychological
Testing; Residential Services; Respite; Supportive Employment
1001 Estes Drive Trailer #24 Chapel Hill, NC 27599
(Orange County) 919-966-2174 www.TEACCH.com
100 Renee Lynn Court Carrboro, NC 27510
(Orange County) 919-966-2174 www.TEACCH.com
325 Russet Run Pittsboro, NC 27312
(Chatham County) 919-966-2174 www.TEACCH.com
Page: 132 of 133
Provider Network Listing
October 2014
Provider Name
Site & Address
Hospitals
Wayne Memorial Hospital, Inc.
(Medicaid)
Ages:
Services:
2700 Wayne Memorial Dr. Goldsboro, NC 27533
(Wayne County) 919-587-4700 www.waynehealth.org
Page: 133 of 133