Provider Demographics
NPI:1821117268
Name:WILLIAM Y. CARLTON
Entity Type:Organization
Organization Name:WILLIAM Y. CARLTON
Other - Org Name:WINSTON CLINICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINCARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-722-7300
Mailing Address - Street 1:2200 SILAS CREEK PKWY
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5000
Mailing Address - Country:US
Mailing Address - Phone:336-722-7300
Mailing Address - Fax:336-722-7311
Practice Address - Street 1:2200 SILAS CREEK PKWY
Practice Address - Street 2:SUITE 1-A
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5000
Practice Address - Country:US
Practice Address - Phone:336-722-7300
Practice Address - Fax:336-722-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0294KOtherBCBSNC GROUP
NC890294KMedicaid
NC8921128Medicaid
NC1581Medicare PIN