Provider Demographics
NPI:1225646748
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:ASSOCIATE ADMINISTRATIVE COODINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-716-7667
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:336-716-7337
Practice Address - Street 1:200 FLINT HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3441
Practice Address - Country:US
Practice Address - Phone:336-838-2872
Practice Address - Fax:336-566-4015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARENET, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-21
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