Provider Demographics
NPI:1831302918
Name:CARENET, INC.
Entity Type:Organization
Organization Name:CARENET, INC.
Other - Org Name:BAPTIST HOSPITAL CARENET COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, LCSW
Authorized Official - Phone:336-716-0858
Mailing Address - Street 1:146 E MCLELLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2611
Mailing Address - Country:US
Mailing Address - Phone:704-871-1712
Mailing Address - Fax:704-871-9354
Practice Address - Street 1:815 DAVIE AVE
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5310
Practice Address - Country:US
Practice Address - Phone:704-871-1712
Practice Address - Fax:704-871-9354
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARENET, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-07
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2351672AOtherMEDICARE
NC2336116OtherMEDICARE
NC6005460Medicaid