Provider Demographics
NPI:1013553692
Name:CARENET, INC.
Entity Type:Organization
Organization Name:CARENET, INC.
Other - Org Name:CARENET COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-716-0858
Mailing Address - Street 1:2000 W 1ST ST STE 410
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-4225
Mailing Address - Country:US
Mailing Address - Phone:336-716-7339
Mailing Address - Fax:
Practice Address - Street 1:1288 C.B. ELLER SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621
Practice Address - Country:US
Practice Address - Phone:336-903-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARENET, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty