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 May 2015 Provider Name Site & Address Agencies & Group Practices A Bridge To Learning (Medicaid) Ages: Services: IDD Innovations Services 4551 W Old Us Highway 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 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 Tommys Rd Goldsboro, NC 27534 (Wayne County) 919-751-9089 www.asmallmiracleinc.com 7404 Chapel Hill Rd Ste K Raleigh, NC 27607 (Wake County) 919-854-4400 www.asmallmiracleinc.com 1008 Bullard Ct Ste 100 Raleigh, NC 27615 (Wake County) 919-900-4422 www.asmallmiracleinc.com A Touch Of Grace, Inc. (Medicaid) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Respite; Supportive Employment 7028 Kittridge Dr Fayetteville, NC 28314 (Cumberland County) 910-867-9754 120 Westlake Rd Ste 1 Fayetteville, NC 28314 (Cumberland County) 910-867-9754 6512 Kemper Ct Fayetteville, NC 28303 (Cumberland County) 910-867-9754 6698 Vaughn Rd Fayetteville, NC 28304 (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 Pl Fayetteville, NC 28314 (Cumberland County) 910-867-9754 6514 Cissna Dr Fayetteville, NC 28303 (Cumberland County) 910-867-9754 Page: 1 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 7535a Overbrook Dr Fayetteville, NC 28303 (Cumberland County) 910-867-9754 1262 E Green Springs Rd Parkton, NC 28371 (Robeson County) 910-867-9754 205 Pierron Dr Fayetteville, NC 28303 (Cumberland County) 910-867-9754 227 Pierron Dr Fayetteville, NC 28303 (Cumberland County) 910-867-9754 A United Community, Llc (Medicaid) Ages: Services: 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 www.unitednc.com Abilities Inc (Medicaid) Ages: Services: IDD 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: IDD Innovations Services 2724 Blossom Rd Hope Mills, NC 28348 (Cumberland County) 910-229-2619 Access Family Services, Inc. (Medicaid) Ages: Services: Assessment; 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 Ste 190 Asheville, NC 28806 (Buncombe County) 828-670-7723 www.accessfamilyservices.com 8701 Moores Chapel Rd Charlotte, NC 28214 (Mecklenburg County) 704-910-2134 www.accessfamilyservices.com 2875 Worth Dr Wilmington, NC 28412 (New Hanover County) 910-523-5534 www.accessfamilyservices.com 522 S Duke St Durham, NC 27701 (Durham County) 919-908-6374 www.accessfamilyservices.com 2565 Ravenhill Dr Ste C Fayetteville, NC 28303 (Cumberland County) 910-339-1928 www.accessfamilyservices.com 2000 Dr Martin Luther King Jr Blvd New Bern, NC 28560 (Craven County) 704-910-2134 www.accessfamilyservices.com 8374 Six Forks Rd Ste 101 Raleigh, NC 27615 (Wake County) 919-890-5852 www.accessfamilyservices.com Page: 2 of 125 Provider Network Listing May 2015 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 Ste 107 Fayetteville, NC 28303 (Cumberland County) 910-339-4573 www.acisupport.com 5213 Pronghorn Ln Raleigh, NC 27610 (Wake County) 919-329-5671 www.acisupport.com 6831 Crescent Moon Ct Apt 108 Raleigh, NC 27606 (Wake County) 919-329-5671 www.acisupport.com 103 Beacon Cove Dr Cary, NC 27511 (Wake County) 919-325-6166 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 5211 Sequoia Rd Fayetteville, NC 28304 (Cumberland County) 919-329-5671 www.acisupport.com 1145 Armelia Dr Autryville, NC 28318 (Sampson County) 919-329-5671 www.acisupport.com 6573 Bailey Lake Rd Fayetteville, NC 28304 (Cumberland County) 919-329-5671 www.acisupport.com 834 Timber Dr Garner, NC 27529 (Wake County) 919-329-5671 www.acisupport.com 1619 Winnabow Dr Fayetteville, NC 28304 (Cumberland County) 919-329-5671 www.acisupport.com 2633 Gressitt Point Ln Fayetteville, NC 28306 (Cumberland County) 919-329-5671 www.acisupport.com 742 Sessoms St Fayetteville, NC 28301 (Cumberland County) 919-329-5671 www.acisupport.com 4342 Pearl Rd Raleigh, NC 27610 (Wake County) 315-450-9252 www.acisupport.com 258 Natchez Dr Raeford, NC 28376 (Hoke County) 919-329-5671 www.acisupport.com Page: 3 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 5511 Cedar Creek Rd Fayetteville, NC 28312 (Cumberland County) 919-345-7420 www.acisupport.com Adg Associates Llc (Medicaid) Ages: Services: IDD Innovations Services; Respite 1319 Aztec Place Fayetteville, NC 28314 (Cumberland County) 910-299-2632 Advance Behavioral Center, Inc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 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) 252-526-7375 Advanced Health Resources, Inc. (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Residential Services 1216 Copeland Oaks Drive Morrisville, NC 27560 (Wake County) 919-465-3277 www.ahrnc.com 8406 Six Forks Rd Ste 201 Raleigh, NC 27615 (Wake County) 919-380-0175 www.ahrnc.com 9425 Cartersville Ct Raleigh, NC 27617 (Wake County) 919-380-0175 www.ahrnc.com 10909 Fanny Brown Rd 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 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] 476 Lynnbank Rd. Henderson, NC 27536 (Vance County) 252-433-6100 [email protected] Page: 4 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 St Fayetteville, NC 28301 (Cumberland County) 910-822-1700 Alamance Academy, Llc (Medicaid) Ages: Services: Child Residential 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 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: IDD Assessment; Child Residential Services; Counseling/Outpatient Therapy; Day Treatment; Intensive In-Home Therapy; Psychiatric Services; Psychological Testing; Residential Services 6220 Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org 500 S Providence St Waxhaw, NC 28173 (Union County) 704-290-1580 www.alexanderyouthnetwork.org 6220 Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org 6220 Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org 1540 Purdue Dr Ste 300 Fayetteville, NC 28303 (Cumberland County) 910-222-6206 www.alexanderyouthnetwork.org 160 Pinehurst Drive Suite L Southern Pines, NC 28387 (Moore County) 910-222-6206 www.alexanderyouthnetwork.org Page: 5 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 6220b Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org 6220 Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org 6220d Thermal Rd Charlotte, NC 28211 (Mecklenburg County) 910-222-6206 www.alexanderyouthnetwork.org All God's Children Of Burlington, Llc (Medicaid) Ages: Services: Child 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 Dr Wake Forest, NC 27587 (Wake County) Alpha Management Services, Inc. (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Respite 2 Consultant Pl Durham, NC 27707 (Durham County) www.alpha-community.org 2 Consultant Pl Durham, NC 27707 (Durham County) 919-419-0043 www.alpha-community.org 112 Allen Ave 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 ±B Ripley Street Durham, NC 27707 (Durham County) www.alpha-community.org Page: 6 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 Ambleside, Inc. (Medicaid) Ages: Services: IDD Innovations Services 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 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 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 1932 Old Colony Road Kinston, NC 28504 (Lenoir County) 252-747-5252 www.ambleside.net Aspirations And Miracles Community Suppo (Medicaid) Ages: Services: MH Psychosocial Rehabilitation 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) 910-892-0000 Aspire Supportive & Counseling Services, Llc (Medicaid) Ages: Services: MH Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychosocial Rehabilitation 219 S East St Unit A Raleigh, NC 27601 (Wake County) 919-835-1888 www.aspirescs.com Page: 7 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 5004 Kenwood Rd Durham, NC 27712 (Durham County) 919-255-9011 ASIofNC.com 2003 Great Bend Dr Durham, NC 27704 (Durham County) 919-255-9011 ASIofNC.com 1310 Corporation Pkwy ste H Raleigh, NC 27610 (Wake County) 919-255-9011 ASIofNC.com 534 Walnut St Cary, NC 27511 (Wake County) 919-255-9011 ASIofNC.com 5117 Glen Forest Dr Raleigh, NC 27612 (Wake County) 919-255-9011 ASIofNC.com 113 Dickens Dr Raleigh, NC 27610 (Wake County) 919-255-9011 ASIofNC.com 6501 Jade Tree Ln Raleigh, NC 27615 (Wake County) 919-255-9011 ASIofNC.com Autism Society Of Cumberland County (State) Ages: I/DD Supports Services: IDD 351 Wagoner Dr Fayetteville, NC 28303 (Cumberland County) Autism Society Of North Carolina, Inc. (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Respite; Supportive Employment 6300 Chapel Hill Rd Ste 14 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 Dr Ste 402 Fayetteville, NC 28303 (Cumberland County) 910-864-2769 www.autismsociety-nc.org 351 Wagoner Dr Ste 408 Fayetteville, NC 28303 (Cumberland County) 910-864-2769 www.autismsociety-nc.org 5006 Sandlewood Dr Raleigh, NC 27609 (Wake County) 919-786-0027 www.autismsociety-nc.org 2024 Bason Ct Raleigh, NC 27609 (Wake County) 919-871-0573 www.autismsociety-nc.org Page: 8 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 709 Edgehill Rd Fayetteville, NC 28314 (Cumberland County) 910-864-1752 www.autismsociety-nc.org 1047 Murchison Rd Ste 128 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 Highway 54 Ste 320 Durham, NC 27713 (Durham County) 919-753-1080 www.bdbehavioralhealth.com 249 E Nc Highway 54 ste 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 S 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 Lee St Ne Wilson, NC 27893 (Wilson County) 252-291-8878 www.baileysrc.com 2500 Nash St N Ste A Wilson, NC 27896 (Wilson County) 252-234-0350 www.baileysrc.com Barium Springs Home For Children (Medicaid) Ages: Services: IDD Inc Child Residential Services; Residential Services 156 Frazier Loop Barium Springs, NC 28010 (Iredell County) 156 Frazier Loop Barium Springs, NC 28010 (Iredell County) 5700 Executive Drive Suite 200 Charlotte, NC 28212 (Mecklenburg County) 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 3419a Melrose Road Fayetteville, NC 28304 (Cumberland County) 910-397-7767 www.bayada.com Page: 9 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Behavioral Counseling And Psychological Services, Pa. (Medicaid) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing; 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 Living Concepts Of Durham Llc (Medicaid) Ages: Services: 909 Garcia Ave Durham, NC 27704 (Durham County) 919-477-5825 Beyond Academics (Medicaid) Ages: Services: IDD Innovations Services; Supportive Employment 1111 Spring Garden St # 3607 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 Break Out, Llc (Medicaid) Ages: Services: 406 Mare Ct Bahama, NC 27503 (Durham County) 919-490-1924 412 Pineland Ave Durham, NC 27704 (Durham County) 919-490-1924 Bridging The Gap Residental Services Llc (Medicaid) Ages: Services: IDD Innovations Services 2232 Page Rd Ste 105 Durham, NC 27703 (Durham County) 919-641-8378 3828 Northlake Dr Durham, NC 27703 (Durham County) 919-641-8378 2010 Lime St Durham, NC 27704 (Durham County) 919-641-8378 Page: 10 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Britton And Crump, Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Day Treatment; Psychiatric Services 121 Hunt St Durham, NC 27701 (Durham County) 919-237-1760 www.brittonandcrump.com 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) Ages: Services: 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 Caring Hands And Supplementary Enrichment Education, Llc (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Respite 14 Chownings St Durham, NC 27713 (Durham County) 919-479-6806 2216 S Miami Blvd Ste 101 Durham, NC 27703 (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 15 Toms Rock Place Durham, NC 27704 (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 308 Pebblestone Drive Durham, NC 27703 (Durham County) 919-479-6806 Page: 11 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 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 Carobell, Inc. (Medicaid) Ages: Residential Services Services: IDD 199 Cinnamon Drive Hubert, NC 28539 (Onslow County) 910-326-7600 www.carobell.org 561 Queens Creek Road Hubert, NC 28539 (Onslow County) 910-326-7600 www.carobell.org 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: SA Assertive Community Treatment; Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services; SA Comprehensive Outpatient Treatment; SA Intensive Outpatient Program 2670 Durham Chapel Hill Blvd Durham, NC 27707 (Durham County) 919-251-9001 carolinaoutreach.com 2670 Durham Chapel Hill Blvd Durham, NC 27707 (Durham County) 919-251-9001 carolinaoutreach.com 911 Hay St Fayetteville, NC 28305 (Cumberland County) 910-438-0939 carolinaoutreach.com 18 Regent Park Blvd Ste A Asheville, NC 28806 (Buncombe County) 828-505-1762 carolinaoutreach.com 139 N Center St Goldsboro, NC 27530 (Wayne County) 919-734-4440 carolinaoutreach.com 3012 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-615-1027 carolinaoutreach.com 935 Shotwell Rd Ste 104a Clayton, NC 27520 (Johnston County) 919-251-9001 carolinaoutreach.com Page: 12 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 712 Wilkins St Ste D&E Smithfield, NC 27577 (Johnston County) 919-251-9001 carolinaoutreach.com Carolina Residential Services, Inc. (Medicaid) Ages: Services: MH Psychosocial Rehabilitation 1014 Hay St Fayetteville, NC 28305 (Cumberland County) 910-920-2891 www.carolinaresidentalservices.com 714 Simmons St Goldsboro, NC 27530 (Wayne County) 919-580-0020 www.carolinaresidentalservices.com Carolina Support Services, Inc. (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Day Treatment; Intensive In-Home Therapy; Psychiatric Services 200 S Pollock St Selma, NC 27576 (Johnston County) 919-965-6770 www.carolinasupportservices.com 214 S Pollock St #216 Selma, NC 27576 (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 Dr 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 6026 Six Forks Rd Raleigh, NC 27609 (Wake County) 919-848-0132 thecarterclinic.com 19 Noble St Smithfield, NC 27577 (Johnston 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 Page: 13 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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: Child 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: Assessment; Child Residential Services; Counseling/Outpatient Therapy 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 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 343 E Six Forks Ste 170 Raleigh, NC 27609 (Wake County) 336-403-2718 www.rescarehomecare.com 830 Tyvola Rd Ste 104 Charlotte, NC 28217 (Mecklenburg County) 336-403-2718 www.rescarehomecare.com Coastal Behavior Health Services, Inc. (Medicaid) Ages: Services: Child 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 Page: 14 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 1931 Fairforest Dr Fayetteville, NC 28304 (Cumberland County) 910-486-8989 Community Alternatives, Inc Dba Community Choices (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Residential Services; SA Comprehensive Outpatient Treatment 2920 Chapel Hill Road 36a Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 2920 Chapel Hill Rd Apt 54 Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 2920 Chapel Hill Rd Apt 54 Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 2920 Chapel Hill Rd Apt 55 Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 2920 Chapel Hill Rd Apt 59 Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 2920 Chapel Hill Rd Apt 60 Durham, NC 27707 (Durham County) 919-490-3087 www.comalt.org 5800 Executive Center Dr 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 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 Rd Ste 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 Dr Raleigh, NC 27609 (Wake County) 919-781-3616 400 W Main St Ste 604 Durham, NC 27701 (Durham County) 919-781-3616 Community Support Service, Llc (Medicaid) Ages: Services: Child Residential Services 1 Terrace Way Greensboro, NC 27403 (Caswell County) 336-855-1810 www.communitysupportservice.com Page: 15 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Community Workforce Solutions, Inc. (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Supportive Employment 3011 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-231-3325 www.communityworkforcesolutions.com 3011 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-231-3325 www.communityworkforcesolutions.com 602 S Garnett St Henderson, NC 27536 (Vance County) 919-231-3325 www.communityworkforcesolutions.com Comprehensive Community Care, Inc. (Medicaid; State) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; I/DD Supports; Innovations Services; Residential Services; Respite 4905 Brentwood Road Durham, NC 27713 (Durham County) 919-489-4202 3308 Durham Chapel Hill Blvd Ste F Durham, NC 27707 (Durham County) 919-489-4202 104 Hickory Glen Ln Durham, NC 27703 (Durham County) 919-489-4202 3519 Fayetteville Street Suite 1 Durham, NC 27707 (Durham County) 919-688-4245 Comserv, Inc. (Medicaid) Ages: Residential Services Services: IDD 3256 Playmore Beach Rd Morganton, NC 28655 (Burke County) 828-438-6026 www.comserve.org Corine's Care Management, Inc (Medicaid) Ages: Services: Community Support Team 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 778 Hoffman Road Jackson Springs, NC 27281 (Moore 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: Child Residential Services 3620 Legion Road Hope Mills, NC 28348 (Cumberland County) 877-472-2302 www.ncprtf.com Page: 16 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 129 Wallace Road Wadesboro, NC 28170 (Anson County) 877-472-2302 www.ncprtf.com 1958 Turnpike Road Raeford, NC 28376 (Hoke County) 877-472-2302 www.ncprtf.com Cottage Health Care Services (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services 3826 Bland Rd Raleigh, NC 27609 (Wake County) www.cottagehcs.com Covenant Community Partners, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Day Treatment; Psychiatric Services; Psychological Testing 1803 Chapel Hill Road Durham, NC 27707 (Durham County) covenantcommunitypartners.org 1915 Chapel Hill Rd Durham, NC 27707 (Durham County) covenantcommunitypartners.org 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; Psychological Testing; SA Intensive Outpatient Program 109 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 E 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 245a Tillinghast St Fayetteville, NC 28301 (Cumberland County) 910-487-3131 245a Tillinghast St Fayetteville, NC 28301 (Cumberland County) 910-487-3131 1533 Mintz Ave Fayetteville, NC 28303 (Cumberland County) 910-487-3131 Page: 17 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 323 Sinclair Street Fayetteville, NC 28301 (Cumberland County) 910-487-3131 635 Dashland Dr 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 D & L Health Care Services, Inc. (Medicaid) Ages: Residential Services Services: IDD 1108 Quail Meadow Drive Fayetteville, NC 28314 (Cumberland County) 910-826-7648 Daymark Recovery Services, Inc. (Medicaid) Ages: Psychiatric Services Services: 101 Colvard St Unit 1 Jefferson, NC 28640 (Ashe County) 704-939-1133 www.daymarkrecovery.org 130 Carbonton Rd Sanford, NC 27330 (Lee County) 704-939-1133 www.daymarkrecovery.org 107 Sunnybrook Rd Raleigh, NC 27610 (Wake 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 115 Market Street, Suite 204g Durham, NC 27701 (Durham County) 919-680-2749 103 Settlers Mill Ln Durham, NC 27713 (Durham County) 919-680-2749 Page: 18 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Diverse Family Services, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Day Treatment; Intensive In-Home Therapy; Psychiatric Services; Psychological Testing 3519 Fayetteville Road Durham, NC 27703 (Durham County) www.dfservices.org 2402 S Miami Blvd. Suite 108 Durham, NC 27703 (Durham County) www.dfservices.org 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 Durham County Community Living Programs (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Residential Services 3205 Hillsborough Rd Durham, NC 27705 (Durham County) 919-489-0682 www.dcclp.org 23 Cambian Pl Durham, NC 27704 (Durham County) 919-489-0682 www.dcclp.org 4425 Regis Ave Durham, NC 27705 (Durham County) 919-489-0682 www.dcclp.org 1119 Carpenter Fletcher Rd Durham, NC 27713 (Durham County) 919-489-0682 www.dcclp.org 3520 Dixon Rd Durham, NC 27707 (Durham County) 919-489-0682 www.dcclp.org 2502 Pickett Rd Durham, NC 27705 (Durham County) 919-489-0682 www.dcclp.org 3523 Westglen Rd Durham, NC 27705 (Durham County) 919-489-0682 www.dcclp.org 311 Melbourne St Durham, NC 27703 (Durham County) 919-489-0682 www.dcclp.org 501 Watts St 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 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 Page: 19 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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) 919-872-7686 3537 Maitland Drive Raleigh, NC 27610 (Wake County) 919-872-7686 804 W. Gannon Avenue Zebulon, NC 27597 (Wake County) 919-872-7686 3300 New Hope Road Raleigh, NC 27604 (Wake County) 919-872-7686 5800 Brambleton Avenue Raleigh, NC 27610 (Wake County) 919-872-7686 712 Rockville Road Wake Forest, NC 27587 (Wake County) 919-872-7686 8020 Caliberwood Drive Raleigh, NC 27616 (Wake County) 919-872-7686 3316 Marcony Way Raleigh, NC 27610 (Wake County) 919-872-7686 819 Cotton Place Raleigh, NC 27601 (Wake County) 919-872-7686 2726 Newsome Street Raleigh, NC 27603 (Wake County) 919-872-7686 627 Donald Ross Drive Raleigh, NC 27610 (Wake County) 919-872-7686 3113 Edgetone Dr Raleigh, NC 27604 (Wake County) 919-850-2336 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 Ave Suite 400 Raleigh, NC 27612 (Wake County) 919-783-8898 www.eastersealsucp.com 2315 Myron Dr Raleigh, NC 27607 (Wake County) 919-865-8780 www.eastersealsucp.com Page: 20 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 3608 University Dr. Suite 101 Durham, NC 27707 (Durham County) 919-783-8898 www.eastersealsucp.com 3801 Lake Boone Trl Raleigh, NC 27607 (Wake County) 919-783-8898 www.eastersealsucp.com 1529 Ben Lloyd Dr 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 Pl Raleigh, NC 27604 (Wake County) 919-783-8898 www.eastersealsucp.com 3406 Old Buffaloe Rd Raleigh, NC 27604 (Wake County) 919-783-8898 www.eastersealsucp.com 120 E Lee St Zebulon, NC 27597 (Wake 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 W Lebanon St Mount Airy, NC 27030 (Surry County) 919-783-8898 www.eastersealsucp.com 223 Hull Rd 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 St Lillington, NC 27546 (Harnett County) 919-783-8898 www.eastersealsucp.com 1076 Nc Highway 86 N Yanceyville, NC 27379 (Caswell County) 919-783-8898 www.eastersealsucp.com 2563 Eric Ln Ste K Burlington, NC 27215 (Alamance County) 919-783-8898 www.eastersealsucp.com 704 Se 2nd St Snow Hill, NC 28580 (Greene County) 919-783-8898 www.eastersealsucp.com 2801 Neuse Blvd New Bern, NC 28562 (Craven County) 919-783-8898 www.eastersealsucp.com 314 Chapanoke Rd Raleigh, NC 27603 (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 200 West 4th Street Greenville, NC 27858 (Pitt County) 919-783-8898 www.eastersealsucp.com Page: 21 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 2230 Blackwolf Run Lane Raleigh, NC 27604 (Wake County) 919-783-8898 www.eastersealsucp.com 2925 Loon Dr. Fayetteville, NC 28306 (Cumberland County) 919-783-8898 www.eastersealsucp.com 1720 Hamlin Road Durham, NC 27704 (Durham County) 919-783-8898 www.eastersealsucp.com 813 Chalmers Street Durham, NC 27707 (Durham County) 919-783-8898 www.eastersealsucp.com 3 Thebes Place Durham, NC 27703 (Durham County) 919-783-8898 www.eastersealsucp.com 4038 Capital Drive Rocky Mount, NC 27804 (Nash County) 919-783-8898 www.eastersealsucp.com 1220 Robinson Ave Raleigh, NC 27610 (Wake County) 919-783-8898 www.eastersealsucp.com 10800 Broadview Drive 108 Raleigh, NC 27617 (Wake County) 919-783-8898 www.eastersealsucp.com Echelon Consulting, Inc Dba Echelon Care (Medicaid) Ages: Services: 1535 Peachtree Rd Charlotte, NC 28216 (Mecklenburg County) 704-594-9119 10400 Mallard Creek Road Ste. 206 Charlotte, NC 28262 (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 Innovations Services; Residential Services; Respite 4925 Coolridge Ct Raleigh, NC 27616 (Wake County) 216 East Parker Street Calypso, NC 28325 (Duplin County) 43 Averaboro Drive Clayton, NC 27520 (Johnston County) Page: 22 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 309 Westonridge Run Garner, NC 27529 (Wake County) 2925 Loon Drive Fayetteville, NC 28306 (Cumberland County) 1200 Navaho Dr Raleigh, NC 27609 (Wake County) 4617 Lockley Rd Apex, NC 27539 (Wake County) 2022 Fordgates Drive Garner, NC 27529 (Wake County) 428 Tippett Road Zebulon, NC 27597 (Wake County) 8609 Stonegate Dr Raleigh, NC 27615 (Wake County) 2533 Rolling Meadows Dr Raleigh, NC 27603 (Wake County) 6208 Blanche Dr Raleigh, NC 27607 (Wake County) 210 Dartmouth Rd Raleigh, NC 27609 (Wake County) 5117 Forest Creek Dr Raleigh, NC 27606 (Wake County) 1317 Helmsdale Dr Cary, NC 27511 (Wake County) 3300 Huntleigh Drive Raleigh, NC 27604 (Wake County) 4409 Rockwood Dr Raleigh, NC 27612 (Wake County) 107 Miss Georgia Ct Cary, NC 27511 (Wake County) 8612 Keegan Ct Raleigh, NC 27615 (Wake County) 1514 Kennon Dr Garner, NC 27529 (Wake County) 3906 Vesta Dr Raleigh, NC 27603 (Wake County) 600 Rawls Dr Raleigh, NC 27610 (Wake County) 225 Buck Jones Rd Raleigh, NC 27606 (Wake County) Page: 23 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Edward's Community Support Services Inc (State) Ages: Services: Residential Services 1233 Apple Tree Rd Stantonsburg, NC 27883 (Wilson County) 252-747-4000 1269 Appletree Rd Stantonsburg, NC 27883 (Wilson County) 252-747-4000 408 East Main St Hookerton, NC 28538 (Greene County) 252-747-4000 306 West Greene St Snow Hill, NC 28580 (Greene County) 252-747-4000 710 W Harper St Snow Hill, NC 28580 (Greene County) 252-747-4000 Eliada Homes Inc. (Medicaid) Ages: Services: 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 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 St Fayetteville, NC 28301 (Cumberland County) 910-826-4699 Page: 24 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Enhancement Health Care (Medicaid) Ages: Services: IDD Crisis Services; 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 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 Extended Reach Day Treatment For (Medicaid) Ages: Services: 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 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 Legacy Mental Health Services, Inc. (Medicaid; State) Ages: Services: SA Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services; SA Intensive Outpatient Program 1011 Schaub Dr Ste 201 Raleigh, NC 27606 (Wake County) 919-834-2000 www.familylegacyinc.com 1007 Broad St Durham, NC 27705 (Durham County) 919-834-2000 www.familylegacyinc.com Page: 25 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Family Preservation Services Of N C (Medicaid; State) Ages: Services: SA Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services 1316 Patton Ave Ste D Asheville, NC 28806 (Buncombe County) 704-344-0491 2609 N Duke St ste 504 Durham, NC 27704 (Durham County) 704-344-0491 3824 Barrett Drive,Ste. 200 Raleigh Nc 27609 Raleigh, NC 27609 (Wake County) 919-850-3480 4601 Park Rd Ste 400 Charlotte, NC 28209 (Durham County) 704-344-0491 5 Dundas Cir. Ste B Greensboro, NC 27407 (Guilford County) 704-344-0491 Family Services Of America Corp (Ican) (Medicaid) Ages: Services: Assessment; Child Residential Services; Counseling/Outpatient Therapy 2504 Raeford Rd Ste A 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 St Durham, NC 27703 (Durham County) 919-596-9801 1600 Discovery Way Apt 1628 Durham, NC 27703 (Durham County) 919-519-0016 Fellowship Health Resources, Inc. (Medicaid; State) Ages: Services: MH / SA Assertive Community Treatment; Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychosocial Rehabilitation; SA Intensive Outpatient Program 5509 Creedmoor Rd ste 100 Raleigh, NC 27612 (Wake County) 919-573-6542 www.fellowshiphr.org 222 E Chatham St Cary, NC 27513 (Wake County) 919-573-6542 www.fellowshiphr.org 3010 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-573-6542 www.fellowshiphr.org Fidelity Community Support Group (Medicaid) Ages: Services: SA Inc. Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive In-Home Therapy; SA Intensive Outpatient Program 2327 Englert Drive Suite 306 Durham, NC 27713 (Durham County) 919-806-0009 Page: 26 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Firm Foundation, Inc. (Medicaid) Ages: Services: Assessment; Child Residential Services; Counseling/Outpatient Therapy 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: Child Residential Services 975 Comet Circle Fayetteville, NC 28314 (Cumberland County) 910-864-9148 Freedom House Recovery Center, Inc. (Medicaid; State) Ages: Services: SA Adult Residential Services; Assessment; Counseling/Outpatient Therapy; Crisis Services; Psychiatric Services; Residential Services 116 To 118 New Stateside Dr Chapel Hill, NC 27516 (Orange County) 919-942-2803 www.freedomhouserecovery.org 110 New Stateside Dr Chapel Hill, NC 27516 (Orange County) 919-942-2803 www.freedomhouserecovery.org 355 C1 S Madison Blvd Roxboro, NC 27573 (Person County) 919-942-2803 www.freedomhouserecovery.org 601 Carlton Ave Durham, NC 27701 (Durham County) 919-942-2803 www.freedomhouserecovery.org 309 Crutchfield St Durham, NC 27704 (Durham County) 919-942-2803 www.freedomhouserecovery.org 309 Crutchfield St Durham, NC 27704 (Durham County) 919-942-2803 www.freedomhouserecovery.org 2404 Francis St Durham, NC 27707 (Durham County) 919-942-2803 www.freedomhouserecovery.org 309 Crutchfield St Durham, NC 27704 (Durham County) 919-942-2803 www.freedomhouserecovery.org 529 Holloway St Durham, NC 27701 (Durham County) 919-942-2803 www.freedomhouserecovery.org 104 New Stateside Dr Chapel Hill, NC 27516 (Orange County) 919-942-2803 www.freedomhouserecovery.org 309 Crutchfield St 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 Page: 27 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 1519 East Main 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 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 24950 Bost Rd Albemarle, NC 28001 (Stanly County) 704-982-9600 www.ghaautismsupports.org Grandfather Home For Children, Inc (Medicaid) Ages: Services: Child Residential Services; Day Treatment 158 Grandfather Home Rd Banner Elk, NC 28604 (Avery County) 828-898-5465 www.grandfatherhome.org 158 Hickory Nut Gap Rd 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 Page: 28 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 64 Hickory Nut Gap Rd Banner Elk, NC 28604 (Avery County) 828-898-5465 www.grandfatherhome.org 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 www.greaterimagehc.com 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 Ste 100 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 St Durham, NC 27701 (Durham County) www.caare-inc.org Page: 29 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Healthcore Resource, Inc. (Medicaid) Ages: Services: IDD Assessment; Child Residential Services; Counseling/Outpatient Therapy; Day Treatment; Innovations Services; Intensive InHome Therapy; Psychiatric Services; Residential Services; Respite 1001 Navaho Dr Ste 100 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 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 2940 Falstaff Rd Raleigh, NC 27610 (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 7625 Mine Valley Rd Raleigh, NC 27615 (Wake County) 919-872-1178 www.hcresource.com Heartfelt Alternatives Inc (Medicaid) Ages: Services: Assessment; Child Residential Services; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services 1100 Logger Ct Ste C100 Raleigh, NC 27609 (Wake County) 919-844-7770 3828 Old Coach Rd 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 Page: 30 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 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 Horizons Residential Care Center (Medicaid) Ages: Residential Services Services: IDD 101 & 103 Horizons Ln Rural Hall, NC 27045 (Forsyth County) 336-767-2411 5900 Bethabara Park Blvd 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 3500 Westgate Drive Suite 303 Suite 303 Durham, NC 27707 (Durham County) 919-493-6871 3020 Pickett Rd ste 329 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 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) 18 W Colony Pl Ste 250 Durham, NC 27705 (Durham County) Page: 31 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Howell Support Services (Medicaid) Ages: Services: IDD Innovations Services; Respite 900 Roseanne Dr Kinston, NC 28504 (Lenoir County) 919-778-1506 www.hssllc.com 907 Landmark Dr , Ste A Goldsboro, NC 27534 (Wayne County) 919-778-1506 www.hssllc.com Improving Life, Inc. (Medicaid) Ages: Services: Child 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; State) Ages: Services: IDD Child Residential Services; Residential Services 607 Hillhaven Dr Winston Salem, NC 27107 (Forsyth County) 336-788-8579 5089 Baux Mountain Rd Winston Salem, NC 27105 (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 Crisis Services; Innovations Services; Respite 410-D Millstone Drive Hillsborough, NC 27278 (Orange County) 919-732-5425 www.j1consultants.org Jeanette Purifoy Dba Michael's World (Medicaid) Ages: Services: IDD Innovations Services; Respite 2220 Dockvale Drive Fayetteville, NC 28306 (Cumberland County) 910-424-6199 Page: 32 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 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 E 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 Brightleaf 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 Jones Health Services, Inc. (Medicaid; State) Ages: Services: 3809 Pickett Rd Durham, NC 27705 (Durham County) 919-403-9644 Page: 33 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 5227 Matt Hair Rd Fayetteville, NC 28312 (Cumberland County) 910-630-2255 7618 Firethorn Drive Fayetteville, NC 28312 (Cumberland County) 910-630-2255 6419 Rutherglen Dr Fayetteville, NC 28304 (Cumberland County) 910-630-2255 123 Buckingham Ave Fayetteville, NC 28301 (Cumberland County) 910-630-2255 202 Scarborough St Spring Lake, NC 28390 (Cumberland County) 910-630-2255 Keep Hope Alive, Llc (Medicaid) Ages: Services: Child 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] Kidspeace National Centers Of North America, Inc. (Medicaid) Ages: Services: IDD Assessment; Child Residential Services; Counseling/Outpatient Therapy; Psychiatric Services; Residential Services 3117 Poplarwood Court Suite 100 Raleigh, NC 27604 (Wake County) 919-366-0786 www.kidspeace.org 3710 University Drive Suite 200 Durham, NC 27707 (Durham County) 919-366-0786 www.kidspeace.org Page: 34 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 2944 Breezewood Ave , Ste 203 Fayetteville, NC 28303 (Cumberland County) 919-366-0786 www.kidspeace.org Kmg Holdings, Inc (Medicaid) Ages: Services: Child Residential Services 1521 Ranch Rd Clayton, NC 27520 (Johnston County) 919-550-8038 www.kmgholdings.com 2016 Fort Dr Raleigh, NC 27520 (Wake County) 919-550-8038 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 2411 Robeson Street Ste 100 Fayetteville, NC 28305 (Cumberland County) 910-223-7114 kvconsultants.com 106 E. Sixth Street Lumberton, NC 28358 (Robeson County) 910-223-7114 kvconsultants.com Lee County Industries (Medicaid) Ages: Services: 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 Ste 102 Durham, NC 27703 (Durham County) 919-403-6160 Life Changez, Inc (Medicaid) Ages: Services: Child Residential Services 8410 Six Forks Rd Suite 104 Raleigh, NC 27615 (Wake County) 919-239-4299 3833 Buffalo Road Raleigh, NC 27604 (Wake County) 919-239-4299 800 Perry Howard Road Fuquay Varina, NC 27526 (Wake County) 919-239-4299 5321 Logos Ct Raleigh, NC 27610 (Wake County) 919-896-8171 Page: 35 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Life Opportunities Therapeutic Home (Medicaid; State) Ages: Child Residential Services Services: 1002 East 4th Avenue Suite B Red Springs, NC 28377 (Robeson County) 910-843-1105 Life Opportunities, Inc. (Medicaid) Ages: Services: Child 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 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 102 Midway Lane Roanoke Rapids, NC 27870 (Halifax County) 919-778-1900 www.lifeincorporated.com 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: 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 Page: 36 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 8132 Green Lantern Street Apt 304 Raleigh, NC 27613 (Wake County) 336-848-4654 www.lindleyhabilitation.com Lutheran Family Services In The Carolinas (Medicaid; State) Ages: Services: Child Residential Services; Residential Services; Respite 616 Hutton Street Suite 103 Raleigh, NC 27606 (Wake County) 704-940-3320 www.lfscarolinas.org 3257 Lake Woodard Dr Raleigh, NC 27604 (Wake County) 704-940-3320 www.lfscarolinas.org 185 Martindale Rd Winston Salem, NC 27107 (Forsyth County) 704-940-3320 www.lfscarolinas.org 6590 Rollingwood Dr. Clemmons, NC 27012 (Davidson County) 704-940-3320 www.lfscarolinas.org 1225 E Morehead St Charlotte, NC 28204 (Mecklenburg County) 704-940-3320 www.lfscarolinas.org 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 2000 Chapel Hill Road Suite 23 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 813 Chalmers Street Durham, NC 27707 (Durham County) 919-490-8041 www.makinchoices.com 400 Glencary Apt 103 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 231 Meed Ct Ste 202 Fayetteville, NC 28303 (Cumberland County) 919-419-1484 4411 W Market St , Ste 304 Greensboro, NC 27407 (Guilford 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 Page: 37 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Melange Health Solutions, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy 145 Scaleybark Road Charlotte, NC 28209 (Mecklenburg County) 704-567-8690 www.melangehs.com 2216 S Miami Blvd Ste 103 Durham, NC 27703 (Durham County) 704-567-8690 www.melangehs.com 400 W Main St Ste 614 Durham, NC 27701 (Durham County) 919-806-0509 www.melangehs.com Methodist Home For Children (Medicaid; State) Ages: Services: IDD Child Residential Services; Residential Services 1041 Washington St Raleigh, NC 27605 (Wake County) 919-833-2834 5400 North Hills Drive Raleigh, NC 27612 (Wake County) 919-833-2834 Mhs Unlimited, Corporation (Medicaid; State) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; I/DD Supports; Innovations Services; Respite 15 Toms Rock Place Durham, NC 27704 (Durham County) 919-281-0153 6 Consultant Pl Ste 200 Durham, NC 27707 (Durham County) 919-281-0153 6 Consultant Pl Durham, NC 27707 (Durham County) 919-281-0153 2811 Independence Ave Durham, NC 27705 (Durham County) 919-281-0153 111 N Maple St Durham, NC 27703 (Durham County) 919-281-0153 Mid State Health Systems (Medicaid) Ages: Residential Services Services: IDD 3721 Legion Road Hope Mills, NC 28348 (Cumberland County) 910-484-3717 4309 Nc Hwy 87 S Fayetteville, NC 28306 (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 Page: 38 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Monarch (Medicaid; State) Ages: Services: MH / SA / IDD Assertive Community Treatment; Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychiatric Services; Psychological Testing; Psychosocial Rehabilitation; Residential Services; Supportive Employment 901 Berkshire Rd Smithfield, NC 27577 (Johnston County) 704-986-1522 295 Airport Rd Rockingham, NC 28379 (Richmond County) 704-986-1534 350 Pee Dee Ave , Ste 101 Albemarle, NC 28001 (Stanly County) 704-986-1534 1100 Lafayette Dr Albemarle, NC 28001 (Stanly County) 704-986-1534 205 E Ingram St Mt Gilead, NC 27306 (Montgomery County) 704-986-1534 1002 Dogwood Drive Zebulon, NC 27597 (Wake County) 704-986-1534 350 E Holding Avenue Wake Forest, NC 27587 (Wake County) 704-986-1534 232 High House Rd Cary, NC 27513 (Wake County) 704-986-1534 130 N Judd Parkway Fuquay Varina, NC 27526 (Wake County) 704-986-1534 401 E Whitakermill Rd Raleigh, NC 27608 (Wake County) 704-986-1534 5260 Pineview Dr Winston Salem, NC 27105 (Forsyth County) 704-986-1534 201 N Eugene Street Greensboro, NC 27401 (Guilford County) 704-986-1534 5700 Executive Center Drive Suite 110 Charlotte, NC 28212 (Mecklenburg County) 704-986-1534 820 Grimes Blvd Lexington, NC 27292 (Davidson County) 704-986-1534 2003 Godwin Avenue Lumberton, NC 28358 (Robeson County) 704-986-1534 300 N 7th St Smithfield, NC 27577 (Johnston County) 704-986-1534 505 W Blanche St Pine Level, NC 27568 (Johnston County) 704-986-1534 3000 Brices Creek Rd New Bern, NC 28562 (Craven County) 704-986-1534 Page: 39 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 107 West Cemetery Street Salisbury, NC 28144 (Rowan County) 704-986-1534 915 South Main St Suite G Laurinburg, NC 28352 (Scotland County) 704-986-1534 809 Tiffany Blvd Rocky Mount, NC 27804 (Nash County) 704-986-1534 311 Mcbee St Lincolnton, NC 28092 (Lincoln County) 704-986-1534 626 S Madison St Whiteville, NC 28472 (Columbus County) 704-986-1534 917 1st St Shelby, NC 28150 (Cleveland County) 704-986-1534 2505 Court Dr Gastonia, NC 28054 (Gaston County) 704-986-1534 10666 Cleveland Rd Garner, NC 27529 (Johnston County) 704-986-1534 10590 Cleveland Rd Garner, NC 27592 (Wake County) 704-986-1534 2563 Cornwallis Rd Garner, NC 27529 (Johnston County) 704-986-1534 4140 Cherry St Winston Salem, NC 27105 (Forsyth County) 704-986-1534 101 B Forest Drive Knightdale, NC 27545 (Wake County) 704-986-1534 217 George St Four Oaks, NC 27524 (Johnston County) 704-986-1534 2046 N Asheboro School Rd Asheboro, NC 27203 (Randolph County) 704-986-1534 470 W Hanes Mill Rd Ste 101 Winston Salem, NC 27105 (Forsyth County) 704-986-1534 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: IDD Innovations 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 Page: 40 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Multicultural Resources Center, Inc. (State) Ages: Services: Residential Services 249 Joyce Ln 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 1517 Oglethorpe Ct Fayetteville, NC 28303 (Cumberland County) 336-813-0723 2052 Brooklyn Avenue Ramseur, NC 27316 (Randolph County) 336-778-2520 1128 Paddington Place Fayetteville, NC 28314 (Cumberland County) 336-778-2520 2625 Neudorf Road Suite 600 Clemmons, NC 27012 (Forsyth County) 336-778-2520 Murchison Residential Corporation (Medicaid) Ages: Services: 533 Texanna Way Holly Springs, NC 27540 (Wake County) 919-557-6712 www.murchisonresidential.com Murdoch Developmental Center (Medicaid) Ages: Residential Services Services: IDD 1600 E C Street Butner, NC 27509 (Granville County) Myrover Reese Fellowship Homes Inc (State) Ages: Services: Residential Services 560 Wilkes Rd Fayetteville, NC 28306 (Cumberland County) 613 Quality Rd Fayetteville, NC 28306 (Cumberland County) National Mentor Healthcare, Llc (Medicaid; State) Ages: Services: Assessment; Child Residential Services; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services; Respite 3125 Poplarwood Court Raleigh, NC 27604 (Wake County) 919-790-8580 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) 919-790-8580 www.nc-mentor.com Page: 41 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Neuse Enterprises, Inc (State) Ages: I/DD Supports Services: IDD 3800 Commerce Dr Kinston, NC 28504 (Lenoir County) 3800 Commerce Dr Kinston, NC 28504 (Lenoir County) 252-523-0817 New Beginnings Of Nc, Llc (Medicaid) Ages: Services: IDD Innovations Services; Respite 100 Westlake Rd Ste 102 Ste 102 Fayetteville, NC 28314 (Cumberland County) 910-286-3821 www.nbnc.org 3717 Florida Drive Fayetteville, NC 28311 (Cumberland County) 910-286-3821 www.nbnc.org 1813 Elkpark Dr Raleigh, NC 27610 (Wake County) 910-286-3821 www.nbnc.org 4280 Saubranch Hill St Raleigh, NC 27616 (Wake County) 910-286-3821 www.nbnc.org New Destinations, Inc. (State) Ages: Services: Residential Services 1132 Camden Road Fayetteville, NC 28306 (Cumberland County) 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) 1524 Southwood Dr Durham, NC 27707 (Durham County) 409 Ebon Rd 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 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 Page: 42 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 316 Penn Oak Circle 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) 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 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 ste 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 , Ste A 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 Page: 43 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Nova-Ic, Inc. (Medicaid) Ages: Services: IDD Day Treatment; 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 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 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 Page: 44 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Oe Enterprises, Inc. (Medicaid; State) Ages: Supportive Employment Services: IDD 348 Elizabeth Brady Rd Hillsborough, NC 27278 (Orange County) 919-732-8124 www. oeenterprises.org 1804 Martin Luther King Pk Durham, NC 27707 (Durham County) 919-732-8124 www. oeenterprises.org Omni Visions, Inc. (Medicaid) Ages: Services: IDD Child Residential Services; Innovations Services 3739 National Dr , Ste 220 Raleigh, NC 27612 (Wake County) www.omnivisions.com 3739 National Dr Ste 220 Raleigh, NC 27612 (Wake County) www.omnivisions.com 3505 Elsie Circle Fayetteville, NC 28312 (Cumberland County) www.omnivisions.com Onas's Place, Inc. (Medicaid) Ages: Services: IDD Innovations Services 5 Whitson Rd Asheville, NC 28805 (Buncombe County) 282-225-3606 202 B Asheland Ave Asheville, NC 28801 (Buncombe County) 282-225-3606 39 Choctaw St Asheville, NC 28801 (Buncombe County) 282-225-3606 7 Whitson Rd Asheville, NC 28805 (Buncombe County) 282-225-3606 One Love Periodic Services, Inc. (Medicaid) Ages: Services: Assessment; 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: SA Assessment; Counseling/Outpatient Therapy; Crisis Services; Psychiatric Services 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 Page: 45 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Parker Investments, Ltd. (Medicaid) Ages: Services: IDD Innovations Services; Supportive Employment 513 Mechanic Street Fayetteville, NC 28301 (Cumberland County) 910-323-2575 811 Lakeland Street Fayetteville, NC 28301 (Cumberland County) 910-323-2575 338 Moore 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 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 2247 Nation Ave Apt 2 Durham, NC 27707 (Durham County) 919-274-7281 www.pathwaysforpeople.org Pathways To Life, Inc. (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Crisis Services; Intensive In-Home Therapy; Multi Systemic Therapy; Psychiatric Services 1202 E Fire Tower Rd Greenville, NC 27858 (Pitt County) 252-695-0269 www.pwstolife.com 2314 S Miami Blvd Ste 154 Durham, NC 27703 (Durham County) 252-695-0269 www.pwstolife.com 1420a S Pollock St 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: IDD Child Residential Services; Innovations Services; Respite 1423 Grandview Dr Fayetteville, NC 28314 (Cumberland County) 910-257-6060 231 Westlake Rd Ste 102 Fayetteville, NC 28314 (Cumberland County) 910-257-6060 Page: 46 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Person County Group Homes Inc (Medicaid) Ages: Services: IDD Innovations Services; 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 230 Winhaven St. Roxboro, NC 27573 (Person County) 336-599-9421 222 Winhaven Street Roxboro, NC 27573 (Person County) 336-599-9421 Philip House Therapeutic Services, (Medicaid) Inc. Ages: Services: 5401 Orchard Pond Drive Raleigh, NC 27609 (Wake County) 919-395-5227 Php Of Nc, Inc. (Medicaid) Ages: Services: IDD Innovations Services; Respite; Supportive Employment 1921 Athens Ave Durham, NC 27707 (Durham County) 919-220-0021 www.phpofncinc.com 2815 Cascadilla St Durham, NC 27704 (Durham County) 919-220-0021 www.phpofncinc.com 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 700 Pony Rd Ste B Zebulon, NC 27597 (Wake County) 919-375-4702 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 Port Human Services (Medicaid) Ages: Day Treatment Services: 2245 Stantonsburg Road, Suite P Greenville, NC 27834 (Pitt County) 252-752-0483 Page: 47 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 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: Day Treatment; Psychiatric Services 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] 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: Assessment; Child Residential Services; Counseling/Outpatient Therapy 2936 Breezewood Avenue Suite 100 Fayetteville, NC 28303 (Cumberland County) 910-868-6092 www.precioushaveninc.com 532 Wayland Dr Fayetteville, NC 28314 (Cumberland County) 910-868-6092 www.precioushaveninc.com 6033 Concho Ct 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 Page: 48 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Professional Family Care Services, Inc (Medicaid) Ages: Services: MH / IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychosocial Rehabilitation; Respite; Supportive Employment 1012 Pamalee Dr Fayetteville, NC 28303 (Cumberland County) 910-485-0085 www.pfcsnc.com 111 Lamon St 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 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 St Durham, NC 27701 (Durham County) 919-530-8888 Psychotherapeutic Services Inc. (Medicaid) Ages: Services: MH 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) 919-303-5377 5412 Swordsman Court Knightdale, NC 27545 (Wake County) 919-303-5377 Page: 49 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 5342 Us Highway 301 Selma, NC 27576 (Johnston County) 919-303-5377 4800 Elmhurst Ridge Raleigh, NC 27616 (Wake County) 919-303-5377 7112 Outrigger Drive Wendell, NC 27591 (Wake County) 919-303-5377 300 Will Rd Middlesex, NC 27557 (Nash County) 919-303-5377 5301 Peacenest Dr Raleigh, NC 27610 (Wake County) 919-303-5377 3012 Varcroft Rd Raleigh, NC 27610 (Wake County) 919-303-5377 1232 Penselwood Drive Raleigh, NC 27604 (Wake County) 919-303-5377 3756 Votive Lane Raleigh, NC 27604 (Wake County) 919-303-5377 1014 Arendell Avenue Zebulon, NC 27597 (Wake County) 919-303-5377 1010 Delta River Way Knightdale, NC 27545 (Wake County) 919-303-5377 5342 Us Highway 301 North Micro, NC 27555 (Johnston County) 919-303-5377 7017 Carfu Place Wendell, NC 27591 (Wake County) 919-303-5377 112 Cell Tower Ct Smithfield, NC 27577 (Johnston County) 919-303-5377 3302 New Bern Ridge Apt 302 Raleigh, NC 27610 (Wake County) 919-303-5377 3312 Pomegranite Drive Raleigh, NC 27616 (Wake County) 919-303-5377 4418 Karlbrook Ln Raleigh, NC 27616 (Wake County) 919-303-5377 5508 Simmons Drive Garner, NC 27529 (Wake County) 919-303-5377 5505 Creekridge Lane Raleigh, NC 27607 (Wake County) 919-303-5377 2304 Havering Place Raleigh, NC 27604 (Wake County) 919-303-5377 1500 Nine Iron Way Apt 103 Raleigh, NC 27603 (Wake County) 919-303-5377 120 Jethro Circle Smithfield, NC 27577 (Johnston County) 919-303-5377 Page: 50 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 1065 Lee Road Clayton, NC 27520 (Johnston County) 919-303-5377 12749 Buck Road Middlesex, NC 27557 (Nash County) 919-303-5377 326 Dogwood Creek Place Fuquay Varina, NC 27526 (Wake County) 919-303-5377 210 Susan Drive Garner, NC 27529 (Wake County) 919-303-5377 5209 Nautical Lane Raleigh, NC 27610 (Wake County) 919-303-5377 5304 Thistlebrook Court Raleigh, NC 27610 (Wake County) 919-303-5377 510 Windcrest Drive Apex, NC 27502 (Wake County) 919-303-5377 2717 Summer Stream Drive Raleigh, NC 27610 (Wake County) 919-303-5377 504 Thistlegate Trail Raleigh, NC 27610 (Wake County) 919-303-5377 2625 Mary Marvin Trail Fuquay Varina, NC 27526 (Wake County) 919-303-5377 2216 Angier Road Fuquay Varina, NC 27526 (Wake County) 919-303-5377 808 Creech Road Garner, NC 27529 (Wake County) 919-303-5377 7205 Jonathan Drive Wendell, NC 27591 (Wake County) 919-303-5377 7016 Beaverwood Drive Raleigh, NC 27616 (Wake County) 919-303-5377 1002 Battlement Way Knightdale, NC 27545 (Wake County) 919-303-5377 711 Town Square Wendell, NC 27591 (Wake County) 919-303-5377 1208 Armstrong Circle Raleigh, NC 27610 (Wake County) 919-303-5377 4323 Viewmont Drive Raleigh, NC 27610 (Wake County) 919-303-5377 106 Lord Berkley Road Raleigh, NC 27610 (Wake County) 919-303-5377 6128 Pleasant Hill Church Road Siler City, NC 27344 (Chatham County) 919-303-5377 1109 South Alston Avenue Durham, NC 27701 (Durham County) 919-303-5377 Page: 51 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 1408 Silver Valley Drive Knightdale, NC 27545 (Wake County) 919-303-5377 36 Wentworth Place Angier, NC 27501 (Harnett County) 919-303-5377 3000 Twinfield Ct Raleigh, NC 27610 (Wake County) 919-303-5377 401 Moline Street Durham, NC 27707 (Durham County) 919-303-5377 8294 Mcguire Dr Raleigh, NC 27616 (Wake County) 919-303-5377 12 Cornflower Dr Wendell, NC 27591 (Wake County) 919-303-5377 5335 Carnelian Dr Raleigh, NC 27610 (Wake County) 919-303-5377 927 Shepard School Rd Zebulon, NC 27597 (Wake County) 919-303-5377 1301 Southgate Drive Raleigh, NC 27610 (Wake County) 919-303-5377 2621 Garden Knoll Raleigh, NC 27614 (Wake County) 919-303-5377 4006 Beaufain Street Raleigh, NC 27604 (Wake County) 919-303-5377 3105 Vico Terrace Raleigh, NC 27610 (Wake County) 919-303-5377 5127 Wetlands Drive Raleigh, NC 27610 (Wake County) 919-303-5377 201 Aqua Marine Lane Knightdale, NC 27545 (Wake County) 919-303-5377 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 St Ste 106 Cary, NC 27511 (Wake County) 919-535-8687 www.qcincorporated.com 808 Hawks View Court Fuquay Varina, NC 27526 (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 Page: 52 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 Quality Care Solutions, Inc. (Medicaid) Ages: Services: 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) 919-790-8606 1016 Broad Street Durham, NC 27705 (Durham County) 919-790-8606 Quest Provider Services, Llc (Medicaid) Ages: Services: IDD Innovations Services; Supportive Employment 2329 E. Wt Harris Blvd. Charlotte, NC 28213 (Mecklenburg County) 704-537-4730 www.questnc.com 1002 Pine Forest Trl Knightdale, NC 27545 (Wake County) 704-537-4730 www.questnc.com 900 Maroubra Loop Apt 8103 Cary, NC 27513 (Wake 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 525 Atkinson Street Laurinburg, NC 28352 (Scotland County) 910-276-0766 706 Rigsbee Ave 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 Page: 53 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 Ave Durham, NC 27707 (Durham County) 919-638-4775 2913 Wadsworth Ave Durham, NC 27707 (Durham County) 919-638-4775 Renu Life Extended (State) Ages: Services: Residential Services 501 Forest Hill Dr Goldsboro, NC 27534 (Wayne County) 501 Forest Hills Dr Goldsboro, NC 27534 (Wayne County) Renu Life, Llc (Medicaid; State) Ages: Services: MH / IDD Innovations Services; Psychosocial Rehabilitation; Residential Services; 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 S Taylor St Goldsboro, NC 27530 (Wayne County) 919-734-0266 103 Lakeview Dr Goldsboro, NC 27530 (Wayne County) 919-734-0266 102 Tinderwood Drive Goldsboro, NC 27534 (Wayne County) 919-734-0266 106 Us Highway 117 Byp S Goldsboro, NC 27530 (Wayne County) 919-734-0266 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 W Main St Carrboro, NC 27510 (Orange County) www.rsi-nc.org 1508 Ephesus Church Rd Chapel Hill, NC 27517 (Orange County) www.rsi-nc.org 1543 Ferrell Rd Chapel Hill, NC 27517 (Orange County) www.rsi-nc.org Page: 54 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 203 Oleander Rd Carrboro, NC 27510 (Orange County) www.rsi-nc.org 102 Quail Roost Dr Carrboro, NC 27510 (Orange County) www.rsi-nc.org 901 Shadylawn Road Ext Chapel Hill, NC 27514 (Orange County) www.rsi-nc.org 6310 Mount Hermon Church Rd 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 Mount Hermon Church Rd Durham, NC 27705 (Orange County) www.rsi-nc.org 111 Silo Dr 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 Ste 110 Raleigh, NC 27609 (Wake County) 919-787-1214 9401 Prince George Ln Apt C Raleigh, NC 27615 (Wake County) 919-787-1214 3416 Atlantic Ave Raleigh, NC 27604 (Wake County) 919-787-1214 408 Hailey Dr 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 Ct Ste 101 Raleigh, NC 27615 (Wake County) 919-787-1214 Resources For Human Development (Medicaid; State) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; I/DD Supports; Innovations Services; Psychiatric Services; Residential Services 311 S Lasalle St Apt 47i Durham, NC 27705 (Durham County) 919-755-1218 Page: 55 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 2909 Rannock Ct Raleigh, NC 27604 (Wake County) 919-755-1218 1503 Crest Drive Suite 201 Raleigh, NC 27606 (Wake County) 919-755-1335 1940 Ranch Mill Cir Raleigh, NC 27610 (Wake County) 919-755-1218 3253 Calumet Dr Raleigh, NC 27610 (Wake County) 919-755-1218 3516 Lytham Pl 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 110 Maury O'Dell Place Cary, NC 27513 (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 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 15 Noble St Smithfield, NC 27577 (Johnston County) 919-938-9502 www.restorethefamily.org Rha Health Services, Inc. (Medicaid; State) Ages: Services: SA / IDD Assertive Community Treatment; Assessment; Counseling/Outpatient Therapy; I/DD Supports; Innovations Services; Psychiatric Services; Psychological Testing; Residential Services; Respite; Supportive Employment 308 Bridget Way Creedmoor, NC 27525 (Granville County) 828-232-6844 www.rhahealthservices.org Page: 56 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 300 W J St Erwin, NC 28339 (Harnett County) 828-232-6844 www.rhahealthservices.org 107 W. Tally Ho Rd. Stem, NC 27581 (Granville County) 919-528-2558 www.rhahealthservices.org 4808 Whitehall Ave Raleigh, NC 27604 (Wake County) 828-232-6844 www.rhahealthservices.org 2248 Wingate Rd Fayetteville, NC 28304 (Cumberland County) 828-232-6844 www.rhahealthservices.org 501 S Wall St 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 17 Church St Asheville, NC 28801 (Buncombe 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 132 Commercial Drive Ste 120 Forest City, NC 28043 (Rutherford County) 828-232-6844 www.rhahealthservices.org 113 John St 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 2003 Godwin Ave Ste A Lumberton, NC 28358 (Robeson County) 828-232-6844 www.rhahealthservices.org 407 E Bladen St Bladenboro, NC 28320 (Bladen County) 828-232-6844 www.rhahealthservices.org 190 Rawls Rd Angier, NC 27501 (Harnett County) 828-232-6844 www.rhahealthservices.org 1917 Trent Blvd New Bern, NC 28560 (Craven County) 828-232-6844 www.rhahealthservices.org 393 3rd Ave Sw Taylorsville, NC 28681 (Robeson County) 828-232-6844 www.rhahealthservices.org 2415 Morganton Blvd Sw Lenoir, NC 28645 (Caldwell County) 828-232-6844 www.rhahealthservices.org 486 Spaulding Rd Ste B Marion, NC 28752 (Mcdowell County) 828-232-6844 www.rhahealthservices.org Page: 57 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 984 Cloverleaf Plz Kannapolis, NC 28083 (Rowan County) 828-232-6844 www.rhahealthservices.org 2732 Ann Elizabeth Dr Burlington, NC 27215 (Alamance County) 828-232-6844 www.rhahealthservices.org 209 Millstone Dr., Ste B Hillsborough, NC 27278 (Orange County) 828-232-6844 www.rhahealthservices.org 119 W Depot St Mocksville, NC 27028 (Davie County) 828-232-6844 www.rhahealthservices.org 232 Newsome Rd King, NC 27021 (Stokes County) 828-232-6844 www.rhahealthservices.org 725 Highland Ave Winston Salem, NC 27101 (Forsyth County) 828-232-6844 www.rhahealthservices.org 3820 Suite A Bridges St Morehead City, NC 28557 (Carteret County) 828-232-6844 www.rhahealthservices.org 215 Memorial Dr. Jacksonville, NC 28546 (Onslow County) 828-232-6844 www.rhahealthservices.org 105 N Green St. Morganton, NC 28655 (Burke County) 828-232-6844 www.rhahealthservices.org 211 S Centennial St High Point, NC 27260 (Guilford County) 828-232-6844 www.rhahealthservices.org 72 Blue Ridge Lane Burnsville, NC 28714 (Yancey County) 828-232-6844 www.rhahealthservices.org 13 S Main St. Marshall, NC 28753 (Madison County) 828-232-6844 www.rhahealthservices.org 129 Skyview Cir. Spruce Pine, NC 28777 (Mitchell County) 828-232-6844 www.rhahealthservices.org 60 Nc Highway 125 Roanoke Rapids, NC 27870 (Halifax County) 828-232-6844 www.rhahealthservices.org 90 Asheland Ave , ste B Asheville, NC 28801 (Buncombe County) 828-232-6844 www.rhahealthservices.org 503 Covil Ave , Ste 102 Wilmington, NC 28403 (New Hanover County) 828-232-6844 www.rhahealthservices.org 939 Whitcomb Dr Fayetteville, NC 28311 (Cumberland County) 828-232-6844 www.rhahealthservices.org 2023 S 17th St Wilmington, NC 28401 (New Hanover County) 828-232-6844 www.rhahealthservices.org Rha Howell Care Center (Medicaid) Ages: Residential Services Services: IDD 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 Page: 58 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 5709 Us 70 East La Grange, NC 28551 (Lenoir County) 252-566-9011 www.rhahowell.org 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 3738 Howell Day Care Center Rd 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 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 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 Page: 59 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 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 Page: 60 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 2990 Reservation Road Aberdeen, NC 28315 (Moore County) 828-232-6844 www.rhahealthservices.org 5972 &5812 Nc Hwy 71 North Maxton, NC 28364 (Robeson County) 828-232-6844 www.rhahealthservices.org 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 126 Robinhood Lane Aberdeen, NC 28315 (Moore County) 828-232-6844 www.rhahealthservices.org 404 Skeet Club Road Guilford, NC 27265 (Forsyth County) 828-232-6844 www.rhahealthservices.org Robeson Health Care Corporation (Medicaid) Ages: Services: SA Assessment; SA Comprehensive Outpatient Treatment 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 302 East 3rd St Pembroke, NC 28372 (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 2724 Blossom Rd Hope Mills, NC 28348 (Cumberland County) 919-890-5569 308 C-1 West Millbrook Rd Raleigh, NC 27609 (Wake County) 919-890-5569 Page: 61 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 2817 Tobermory Lane Raleigh, NC 27606 (Wake County) 919-890-5569 2104 Winnie Place Raleigh, NC 27603 (Wake 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 3017 Idlewood Village Raleigh, NC 27610 (Wake County) 919-890-5569 815 Laurens Way Knightdale, NC 27545 (Wake County) 919-890-5569 Richardson Home-902 Creech Road Garner, NC 27529 (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 St Fayetteville, NC 28303 (Cumberland County) 910-826-2273 6777 Candlewood Dr 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 27713 (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 Dr Raleigh, NC 27612 (Wake County) 919-256-0824 www.triumphcares.com 912 Avent Ferry Rd Holly Springs, NC 27540 (Wake County) 910-642-5697 www.triumphcares.com 303 N Howard St Chadbourn, NC 28431 (Columbus County) 919-256-0824 www.triumphcares.com 904 Avent Ferry Rd Holly Springs, NC 27540 (Wake County) 910-642-5697 www.triumphcares.com Page: 62 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 739 Arthur Maddox Rd Sanford, NC 27332 (Lee County) 919-256-0824 www.triumphcares.com 313 E Brookwood Ave Liberty, NC 27298 (Randolph County) 919-256-0824 www.triumphcares.com 704 Carolina Ave N Ahoskie, NC 27910 (Hertford County) 919-256-0824 www.triumphcares.com 5691 Mack Lineberry Rd Climax, NC 27233 (Guilford County) 919-256-0824 www.triumphcares.com 36 Wentworth Pl 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 5533 Nc Hwy 42 W Suite A6 Garner, NC 27529 (Wake County) 919-779-6595 www.savingracellc.net 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 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: IDD Child Residential Services; Residential Services 2050 Mercantile Drive Leland, NC 28451 (Brunswick County) 910-371-2500 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 Ave Ste 171 Durham, NC 27713 (Durham County) 919-405-2700 www.srfcinc.com 3008 Independence Ave Durham, NC 27703 (Durham County) 919-405-2700 www.srfcinc.com 3711 University Dr , Ste C Durham, NC 27707 (Durham County) 919-405-2700 www.srfcinc.com 1809 Collier Dr Durham, NC 27707 (Durham County) 919-405-2700 www.srfcinc.com 10 Meadowcrest Dr Durham, NC 27703 (Durham County) 919-405-2700 www.srfcinc.com Page: 63 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 St. Raeford, NC 28376 (Hoke County) 910-904-7147 www.serenityts.com 2299 Dockwood Ct. Fayetteville, NC 28306 (Cumberland County) 910-904-7147 www.serenityts.com 152 Sandspur Ct. Raeford, NC 28376 (Hoke County) 910-904-7147 www.serenityts.com 1446 Sand Hill Rd 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 Ln Raeford, NC 28376 (Hoke County) 910-904-7147 www.serenityts.com 207 S Stewart St. Raeford, NC 28376 (Hoke County) 910-904-7147 www.serenityts.com 541 Bunce Rd. Fayetteville, NC 28314 (Cumberland County) 910-904-7147 www.serenityts.com 10147 Rockfish Rd. Raeford, NC 28376 (Hoke 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 Sierra's Residental Services, Inc. (Medicaid) Ages: Services: Child Residential Services; Psychiatric 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 Page: 64 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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: Psychiatric Services Services: 1100 Hardee Road Suite 101-B Kinston, NC 28504 (Lenoir County) 336-908-1044 Skill Creations, Inc. (Medicaid) Ages: Residential Services Services: IDD 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 338 Copper Street Winterville, NC 28590 (Pitt County) 919-734-7398 www.skillcreations.com 223 Forest Trail Clinton, NC 28328 (Sampson County) 919-734-7398 www.skillcreations.com 2101 Royal Ave Goldsboro, NC 27534 (Wayne County) 919-734-7398 www.skillcreations.com Sophia B. Pierce & Associates, Inc. (Medicaid) Ages: Services: IDD Innovations Services; Residential Services; Respite; Supportive Employment 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 Page: 65 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 1128 Paddington Place Fayetteville, NC 28314 (Cumberland County) 910-488-8477 Southeastern Healthcare Of Nc (Medicaid; State) Ages: Services: MH Assessment; Community Support Team; Psychosocial Rehabilitation 437 Moore St Clayton, NC 27520 (Johnston County) 919-987-2801 southeasternhealthcarenc.com 440 W. Main Street Clayton, NC 27520 (Johnston County) 919-987-2798 southeasternhealthcarenc.com 3401 Carl Sandburg Ct Raleigh, NC 27610 (Wake County) 919-987-2798 southeasternhealthcarenc.com Southlight Healthcare (Medicaid; State) Ages: Services: 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 Dr Fuquay Varina, NC 27526 (Wake County) 919-787-6131 3125 Poplarwood Ct Ste 150 Raleigh, NC 27604 (Wake County) 919-787-6131 2101 Garner Rd Ste 111 Raleigh, NC 27610 (Wake County) 919-787-6131 1822 Gorman St Raleigh, NC 27604 (Wake County) 919-787-6131 220 Swinburne Rd Raleigh, NC 27610 (Wake County) 919-787-6131 Specialized Services And Personnel (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Residential Services; Respite 4720 Dillingham Ct Raleigh, NC 27604 (Wake County) 910-944-8125 608 W Johnston Street Raleigh, NC 27603 (Wake County) 910-944-8125 105 Bushberry Ct Garner, NC 27529 (Wake County) 910-944-8125 301 N Sycamore St Aberdeen, NC 28315 (Moore County) 910-944-8125 3600 Cornwallis Rd Garner, NC 27529 (Wake County) 910-944-8125 Page: 66 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 Dr 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 E Booker Dairy Rd Smithfield, NC 27577 (Johnston County) 919-938-1190 1680 E Booker Dairy Rd Smithfield, NC 27577 (Johnston County) 919-938-1190 Stephens Outreach Center (Medicaid) Ages: Services: IDD 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 Strategic Interventions, Inc. (Medicaid) Ages: Services: MH Assertive Community Treatment; Psychosocial Rehabilitation 3100 Highway 226 S Marion, NC 28752 (Mcdowell County) 828-659-3418 308 Harrison Ave Yadkinville, NC 27055 (Yadkin 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 Page: 67 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 319 H South Westgate Drive Greensboro, NC 27407 (Guilford County) 828-659-3418 301 East Meeting Street Morganton, NC 28655 (Burke County) 828-659-3418 Structured Family Interventions, Llc (Medicaid) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychiatric Services; Respite 6011 Fayetteville Rd Ste 104-C 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 2030 Hoke Loop Road Fayetteville, NC 28314 (Cumberland County) 910-864-2443 sunlightbehaviorcenter.org Sunrise Clinical Associates Pllc (Medicaid) Ages: Services: MH 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] Support, Incorporated (Medicaid) Ages: 175 West Franklin Blvd. (Gaston County) Services: Gastonia, NC 28052 Page: 68 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 3505 N Roxboro St Durham, NC 27704 (Durham County) 919-220-4224 www.telecarecorp.com The Alpha Management Community (Medicaid; State) Ages: Services: Services,Inc. Child 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 St 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 E Six Forks Rd , Ste 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 The Bair Foundation (Medicaid) Ages: Services: IDD Child Residential Services; Residential Services; Respite 108 Executive Park Dr. Asheville, NC 28801 (Buncombe County) 108 Executive Park Drive Asheville, NC 28801 (Buncombe County) The Bruson Group, Inc. (Medicaid; State) Ages: Services: SA Assessment; Child Residential Services; Counseling/Outpatient Therapy; Psychiatric Services 7417 Knightdale Blvd , Unit 101 Knightdale, NC 27545 (Wake County) 919-261-8566 www.thebrusongroupinc.net 4513 Fox Rd Raleigh, NC 27616 (Wake County) 919-261-8566 www.thebrusongroupinc.net Page: 69 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 7417 Knightdale Blvd Ste 101a Knightdale, NC 27545 (Wake County) 919-261-8566 www.thebrusongroupinc.net 5309 Kyle Dr Raleigh, NC 27616 (Wake County) 919-261-8566 www.thebrusongroupinc.net 3501 Neptune Dr Raleigh, NC 27604 (Wake County) 919-261-8566 www.thebrusongroupinc.net The Children's Home (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Day Treatment; Psychiatric Services 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 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 Rd 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 Rd Fayetteville, NC 28312 (Cumberland County) 910-485-4742 3581 Torbay Drive Fayetteville, NC 28311 (Cumberland County) 910-485-4742 1903 Bridger Street Fayetteville, NC 28301 (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 Raleigh, NC 27605 (Wake 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 Page: 70 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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) 336-633-9357 mytahome.com 696 Covington Street Troy, NC 27371 (Montgomery County) 336-495-2700 mytahome.com 974 S Cox St Asheboro, NC 27203 (Randolph County) 336-633-7289 mytahome.com Thompson Child & Family Focus (Medicaid) Ages: Services: IDD Assessment; Child Residential Services; Counseling/Outpatient Therapy; Residential Services 6800 Saint Peters Lane Matthews, NC 28105 (Union County) 704-536-0375 www.thompsoncff.org 6725 St. Peter's Lane Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6736 St. Peter's Ln. Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6750 St. Peter's Lane Suite 200 Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6750 St. Peter's Lane Suite 300 Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6750 St. Peter's Ln Suite 400 Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6750 St. Peter's Ln. Suite 100 Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6722 St. Peter's Ln Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 6700 St. Peter's Ln. Matthews, NC 28105 (Mecklenburg County) 704-536-0375 www.thompsoncff.org 769 Wendover Rd Charlotte, NC 28211 (Mecklenburg County) 704-536-0375 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 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 Page: 71 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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: Child Residential Services 665 Timber Trail Gold Hill, NC 28071 (Rowan County) 704-279-1199 www.trtc.net 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 Dr 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 743 745 & 737 Chappell Drive Raleigh, NC 27606 (Wake County) 919-832-3909 747 Chappell Drive Raleigh, NC 27606 (Wake County) 919-832-3909 209 Rose St Cary, NC 27511 (Wake County) 919-832-3909 Tonya Omar, Pllc Dba The Aya Center (Medicaid) Ages: Services: Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services; Psychological Testing 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: 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: Assessment; Counseling/Outpatient Therapy 2949 New Bern Ave Ste 107a Raleigh, NC 27610 (Wake County) 919-747-9843 http://touchinglivescenterinc.org Page: 72 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Touchstone Residential Services (Medicaid; State) Ages: Services: IDD Child Residential Services; I/DD Supports; Innovations Services; Residential Services; Respite; Supportive Employment 11030 Raven Ridge Rd Suite 017 Raleigh, NC 27614 (Wake County) 919-465-0910 trs-nc.com 1405 Westchester Rd Raleigh, NC 27610 (Wake County) 919-465-0910 trs-nc.com 1224 Copeland Oaks Dr 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 Dr Wendell, NC 27591 (Wake County) 919-465-0910 trs-nc.com 2721 Hinson Dr Durham, NC 27704 (Durham County) 919-465-0910 trs-nc.com 612 Dupree St 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 4833 Tolley Ct Raleigh, NC 27616 (Wake County) 919-465-0910 trs-nc.com 707 Buena Vistan Drive Fayetteville, NC 28311 (Cumberland County) 919-465-0910 trs-nc.com Triangle Comprehensive Health Services, Inc. (Medicaid) Ages: Services: IDD Innovations Services; Respite 100 Holden Road Suite F Youngsville, NC 27596 (Franklin County) 919-751-0277 1700 East Ast St. suite 103 Goldsboro, NC 27530 (Wayne County) 919-751-0277 Triangle Residential Options For Substance Abusers, Inc. (Trosa) (State) Ages: Services: Residential Services 1715 Chapel Hill Road Durham, NC 27707 (Durham County) 919-419-1059 1820 James Street Durham, NC 27707 (Durham County) 919-419-1059 Tri-County Community Health Council, Inc. (Medicaid) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; 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: 73 of 125 Provider Network Listing May 2015 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 Turning Point Family Care, Pllc (Medicaid; State) Ages: Services: SA Assessment; Community Support Team; Counseling/Outpatient Therapy; Day Treatment; Intensive In-Home Therapy; Psychiatric Services 3029 Stoney Brook Dr , Ste 105 Raleigh, NC 27604 (Wake County) 919-493-0959 www.tpacenter.org 2515 E Nc Highway 54 Bldg 2200 Durham, NC 27713 (Durham County) 919-493-0959 www.tpacenter.org 1708 Trawick Rd Ste 101 Raleigh, NC 27604 (Wake County) 919-493-0959 www.tpacenter.org Turning Point Homes, Inc. Dba Turning Point Family Services (Medicaid) Ages: Services: IDD Child Residential Services; Residential Services 542 Williams Rd Ste 6 Mooresville, NC 28117 (Iredell County) 704-756-2263 542 Williamson Rd Ste 6 Mooresville, NC 28117 (Iredell County) 704-756-2263 8401 University Exec Park Dr Ste 106 Charlotte, NC 28262 (Mecklenburg County) 704-756-2263 Turning Point Services (Medicaid; State) Ages: Services: IDD I/DD Supports; Innovations Services; Respite; Supportive Employment 3607 Cyrus St Raleigh, NC 27610 (Wake County) 828-433-4719 www.turningpointservicesinc.com 4000 Blue Ridge Rd Ste 160 Raleigh, NC 27612 (Wake County) 828-433-4719 www.turningpointservicesinc.com 1001 S Sterling St Morganton, NC 28655 (Burke County) 828-433-4719 www.turningpointservicesinc.com 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 Dr 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) Page: 74 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices United Family Network (Medicaid) Ages: Services: Child 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 6815 Seattle Slew Place Whitsett, NC 27377 (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 United Quest Care Services, Llc (Medicaid) Ages: Services: Assertive Community Treatment; Assessment; Counseling/Outpatient Therapy 806 Summit Avenue Suite 210a Greensboro, NC 27405 (Guilford County) 336-279-1227 unitedquestcareservices.org United Rehabilitation Services, Inc. (Medicaid) Ages: Services: MH Counseling/Outpatient Therapy; 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: 6503 Kemper Court Fayetteville, NC 28314 (Cumberland County) 910-689-6993 6852 Mahogany Road Fayetteville, NC 28303 (Cumberland County) 910-689-6993 Page: 75 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices United Seating And Mobility, Llc (Medicaid) Ages: Services: 1001 American Way Apex, NC 27502 (Wake County) United Support Services, Inc. (Medicaid) Ages: Services: IDD Crisis Services; Innovations Services; Respite; Supportive Employment 2331 Crownpoint Executive Drive Suite J Charlotte, NC 28227 (Mecklenburg County) 704-841-3544 www.ussnc.org 144 Adrian Street Holly Springs, NC 27540 (Wake 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 1722 Moulton Rd Louisburg, NC 27549 (Franklin County) 704-841-3544 www.ussnc.org 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 1701 West Gannon Avenue Zebulon, NC 27597 (Wake County) 704-841-3544 www.ussnc.org 125 Will Woods Way Franklinton, NC 27525 (Franklin County) 704-841-3544 www.ussnc.org 1711 West Lakewood Ave Durham, NC 27707 (Durham County) 704-841-3544 www.ussnc.org 4407 West River Rd Franklinton, NC 27525 (Franklin County) 704-841-3544 www.ussnc.org Page: 76 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Unity Home Care, Inc. (Medicaid) Ages: Services: IDD Child Residential Services; Innovations Services; Respite 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 4608 Cedar Ave Ste 114 Wilmington, NC 28403 (New Hanover 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: IDD I/DD Supports; Innovations Services; Respite; Supportive Employment 602 Nash St Ne , Unit A Wilson, NC 27893 (Wilson 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 Dr 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 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 Page: 77 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 2720 Wedgedale Avenue Durham, NC 27703 (Durham County) 828-759-2228 www.umhs.net 839 Wilkesboro Rd Lenoir, NC 28645 (Caldwell County) 828-759-2228 www.umhs.net 3900 Barrett Dr Ste 311 Raleigh, NC 27609 (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 5900 Timber Creek Lane Apt 915 Raleigh, NC 27612 (Wake County) 828-759-2228 www.umhs.net 5018 Reservoir Rd Raleigh, NC 27610 (Wake County) 828-759-2228 www.umhs.net 1010 Delta River Way Knightdale, NC 27545 (Wake County) 828-759-2228 www.umhs.net 1021 Greenhow Lane Wake Forest, NC 27587 (Wake County) 828-759-2228 www.umhs.net 7313 Fox Road Raleigh, NC 27616 (Wake County) 828-759-2228 www.umhs.net 636 Hanska Way Raleigh, NC 27610 (Wake County) 828-759-2228 www.umhs.net 3807 Griffs Glenn Drive Raleigh, NC 27610 (Wake County) 828-759-2228 www.umhs.net 3325 Planet Drive Raleigh, NC 27604 (Wake County) 828-759-2228 www.umhs.net 4323 Viewmont Drive Raleigh, NC 27610 (Wake County) 828-759-2228 www.umhs.net 9602 Falls Of Neuse Rd Raleigh, NC 27615 (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 5529 Wilhagan Ct Raleigh, NC 27616 (Wake County) 828-759-2228 www.umhs.net 5508 Simmons Drive Garner, NC 27529 (Wake County) 828-759-2228 www.umhs.net Page: 78 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 834 Schley Drive Fayetteville, NC 28314 (Cumberland County) 828-759-2228 www.umhs.net 4330 Grandiflora Ln Apt 107 Raleigh, NC 27604 (Wake County) 828-759-2228 www.umhs.net 4009 Memory Ln Raleigh, NC 27604 (Wake County) 828-759-2228 www.umhs.net 2023 Trexler Ct Raleigh, NC 27606 (Wake County) 828-759-2228 www.umhs.net 7402 Chelsey Ln Durham, NC 27713 (Durham County) 828-759-2228 www.umhs.net Upscale Residential Care, Inc. (Medicaid) Ages: Services: IDD Innovations Services 614 N. Pine Street Roseboro, NC 28382 (Sampson County) 919-789-1154 www.upscaleenterprises.com Upward Change Health Services, Llc (Medicaid) Ages: Services: MH Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy; Psychiatric Services; Psychosocial Rehabilitation 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 2314 S. Miami Blvd Suite 154 Durham, NC 27703 (Durham County) 919-682-5300 www.upwardchangeservice.com Victor & Associates, Inc. (Medicaid) Respite Ages: Services: 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: 79 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices Visions Counseling Studio, Pllc (Medicaid) Ages: Services: MH / SA Assessment; Counseling/Outpatient Therapy; Psychosocial Rehabilitation; SA Comprehensive Outpatient Treatment; SA Intensive Outpatient Program 401 E Lakewood Avenue Suite E Durham, NC 27707 (Durham County) 919-286-2146 visionscounseling.net Voca Corporation Of North Carolina (Medicaid) Ages: Residential Services Services: IDD 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 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 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 112 Hickory Avenue Holly Springs, NC 27540 (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 Page: 80 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 Rd 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 Rd 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 Wescare Professional Services, Llc (Bedf (Medicaid) Ages: Services: IDD Child Residential 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) 919-575-2482 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 Page: 81 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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: 281 Wheeler Hills Rd Burnsville, NC 28714 (Yancey County) 828-682-4944 35 Cleo St Burnsville, NC 28714 (Yancey County) 828-682-4944 Yelverton's Enrichment Services, Inc. (Medicaid) Ages: Services: Assessment; Community Support Team; Counseling/Outpatient Therapy; Intensive In-Home Therapy; Psychiatric Services 2530 Meridian Pkwy Suite 300 Durham, NC 27713 (Durham County) 919-872-6220 www.yes2humanhealth.com 6977 Nexus Court Suite 102 Fayetteville, NC 28304 (Cumberland County) 910-703-8402 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 1035 Bristoe Dr Apt 107 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 6737-B2 Six Forks Rd Raleigh, NC 27615 (Wake County) 919-889-0018 www.yourchoiceservices.net 1140 Baxter Ln Apt 203 Knightdale, NC 27545 (Wake County) 919-787-7423 www.yourchoiceservices.net 3640 Castlegate Dr Raleigh, NC 27616 (Wake County) 919-787-7423 www.yourchoiceservices.net 1025 Sappony Drive Apt 108 Knightdale, NC 27545 (Wake County) 919-787-7423 www.yourchoiceservices.net 6709-B2 Six Forks Rd. Raleigh, NC 27615 (Wake County) 919-787-7423 www.yourchoiceservices.net 6749-B4 Six Forks Rd Raleigh, NC 27615 (Wake County) 919-787-7423 www.yourchoiceservices.net 1141 Baxter Lane Knightdale, NC 27545 (Wake County) 919-787-7423 www.yourchoiceservices.net Page: 82 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 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 1035 Bristoe Dr Apt 102 Knightdale, NC 27545 (Wake County) 919-787-7423 www.yourchoiceservices.net 3824 Barrett Drive Suite 105 Raleigh, NC 27609 (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: IDD Child Residential Services; 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 Youth Extensions, Llc (Medicaid) Ages: Services: 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 Page: 83 of 125 Provider Network Listing May 2015 Provider Name Site & Address Agencies & Group Practices 1601c Huffine Mill Road Greensboro, NC 27405 (Guilford County) 336-274-5909 www.youthfocus.org Youth Villages, Inc. (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Intensive InHome Therapy; Multi Systemic Therapy; Psychiatric Services 100 Capitola Dr Ste 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 7900 Triad Center Dr , Ste 350 Greensboro, NC 27409 (Guilford County) 937-258-0330 Page: 84 of 125 Provider Network Listing May 2015 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: 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: SA 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 1058 W Club Blvd Suite 615 Durham, NC 27701 (Durham County) 919-710-6940 A-1 Care Consultants Inc. (Medicaid) Ages: Services: Counseling/Outpatient Therapy 2949 New Bern Avenue Suite 110-B Raleigh, NC 27610 (Wake County) 919-413-1066 Abc Pediatrics Of Dunn, Pa (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 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 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 Page: 85 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 Alexandra Calix-Hughes (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 174 Mine Lake Ct #200 Raleigh, NC 27615 (Wake County) 919-370-6614 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) 919-345-1588 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 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. Gressler, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2500 Regency Pkwy #213 Cary, NC 27518 (Wake County) 919-791-7545 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 Page: 86 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 Dr Ste 100 E Cary, NC 27513 (Wake County) 919-428-3196 Angela M. Bowers, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1001 Navaho 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 Rd Ste 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 M. Laforce, Lpa (Medicaid) Ages: Services: 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 3801 Computer Dr Ste 112 Raleigh, NC 27609 (Wake County) 919-720-8461 Anse Daniel, Lmft (Medicaid) Ages: Services: 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 Page: 87 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 April Donna Clark (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1621 Kendall Hill Rd Willow Spring, NC 27592 (Wake County) 919-753-5906 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 Associated Family And Life Services, Llc (Medicaid) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services 3417 S Alston Ave Durham, NC 27713 (Durham County) 919-797-2507 www.associatedlife.com 2144 Page Rd Ste 204 Durham, NC 27703 (Durham County) 919-797-2507 www.associatedlife.com 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 Ave 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 Page: 88 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Behavioral Health Solutions, P.A. (Medicaid; State) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 5318 Highgate Dr Ste 131 Durham, NC 27713 (Durham County) 919-419-0524 Best Life, Inc. (Medicaid) Ages: Services: 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 Dr Ste 200 Knightdale, NC 27545 (Wake County) 919-844-7755 www.better-communities.com Beverly Linn Pacos, Lpc (Medicaid) Ages: Services: Counseling/Outpatient Therapy 230 W. Millbrook Rd Raleigh, NC 27609 (Wake County) 919-872-1405 Beverly Wicker (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 201 Shannon Oaks Cirlce Suite 200 Cary, NC 27511 (Wake County) 919-721-8361 Bip-Behavior Intervention Professionals Of The Triangle, Pllc (Medicaid) Ages: Services: IDD 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 Purnell Lpc (Medicaid) Ages: Services: Counseling/Outpatient Therapy 4922 Windy Hill Drive Suite A Raleigh, NC 27609 (Wake County) 919-454-4039 Bwell Services, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 724 Baldwin Avenue Charlotte, NC 28204 (Mecklenburg County) Page: 89 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 Caps 4 U Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3925 N Duke Street Suite 123 Durham, NC 27704 (Durham County) 919-680-8833 Carenet, Inc. Dba Fayetteville Family Life Center (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 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 St Ste 204 Clinton, NC 28328 (Sampson County) 910-299-0848 www.caringheartspcs.com Carla Lucia Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 4010 Barrett Dr Ste 201 Raleigh, NC 27609 (Wake County) 919-345-6103 103 Kilmayne Dr Ste C 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 St 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 Rd Ste 102 Cary, NC 27511 (Wake County) 919-870-0082 Page: 90 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Carolina Behavioral Care, Pa (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing 209 Millstone Dr , Ste A Hillsborough, NC 27278 (Orange County) 919-245-5400 www.carolinabehavioralcare.com 289 Olmsted Blvd , Ste 1 Pinehurst, NC 28374 (Moore County) 910-295-6007 www.carolinabehavioralcare.com 4102 Ben Franklin Blvd Durham, NC 27704 (Durham County) 919-972-7700 www.carolinabehavioralcare.com Carolina Counseling Specialists Pllc (Medicaid) Ages: Services: 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 548 Sandhurst Dr 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: 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 Page: 91 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 Charles L Cooper Ph.D. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 100 Europa Drive Chapel Hill, NC 27517 (Orange County) 919-929-1227 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 Coastal Carolina Neuropsychiatric Center, Pa (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 117 Beasley Street Kenansville, NC 28349 (Duplin County) 910-938-1114 Coastal Horizons Center, Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 803 S. Walker St Burgaw, NC 28425 (Pender County) 910-343-0145 Page: 92 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Community Care Service, Llc (Medicaid) Ages: Services: 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; Psychological Testing 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: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 112 East Elwood Avenue Raeford, NC 28376 (Hoke County) communityhelpsnetwork.com 413 Clinton Avenue Dunn, NC 28334 (Harnett County) communityhelpsnetwork.com Connect Center For Wellness (Medicaid) Ages: Services: 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 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: Counseling/Outpatient Therapy 2112 Langdon Rd. Raleigh, NC 27604 (Wake County) 919-348-1377 Coogan Hickey Services, Inc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 16 W Martin St Ste 401 Raleigh, NC 27601 (Wake County) 919-538-3458 www.aspiringhearts.com Core Essentials, Llc (Medicaid) Ages: Services: SA Assessment; Counseling/Outpatient Therapy 1920 E Nc Highway 54 Ste 110 Durham, NC 27713 (Durham County) 919-886-6056 www.coreessentialsnc.org Page: 93 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Counseling Services Inc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 18 W. Colony Pl. Suite 280 Durham, NC 27705 (Durham County) 919-493-2674 Damen Cromwell, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1201 Aversboro Rd Suite 106 Garner, NC 27529 (Wake County) 919-332-9294 David Kirsh, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 819 Broad Street Durham, NC 27705 (Durham County) 919-381-8320 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 Destiny Counseling Connection Pllc (Medicaid) Ages: Services: 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 Dionne Hall (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2915 Raeford Road Suite 204 Fayetteville, NC 28303 (Cumberland County) 910-483-6427 Page: 94 of 125 Provider Network Listing May 2015 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: 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 St Wall Street Benson, NC 27504 (Johnston County) 919-894-8002 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 Dunn Psychological Associates, Pa (Medicaid) Ages: Services: SA Assessment; Counseling/Outpatient Therapy 102 Tilghman Drive Dunn, NC 28334 (Harnett County) 910-892-5839 East Carolina Psychiatric Consultants, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 916 11th St Goldsboro, NC 27534 (Wayne County) 919-735-9119 www.ecpsychiatricconsultants.com East Wake Counseling And Consulting, Pllc (Medicaid) Ages: Services: Counseling/Outpatient Therapy 106 North First Ave, Suite A Knightdale, NC 27545 (Wake County) 919-332-1819 Eclectic Therapeutic Connections, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 8601 Six Forks Rd Ste 400 Raleigh, NC 27615 (Wake County) 919-322-8236 Edna Williams-Cadichon, Lcas (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 817 Hillborough St C103 Raleigh, NC 27603 (Wake County) 919-605-7909 Page: 95 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 St Durham, NC 27701 (Durham County) 919-338-1939 110 W Main St Ste 2h Carrboro, NC 27510 (Orange County) 919-338-1939 319 E 3rd St 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 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 Elizabeth Yates Barnard Lcsw (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 216 W 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 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 Page: 96 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Erica Turner Lpc Pc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 211 E Six Forks Rd Ste 201 Raleigh, NC 27609 (Wake County) 919-815-5701 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 Fayetteville Psychiatric Associates, (Medicaid) Ages: Services: Pc Assessment; Counseling/Outpatient Therapy; Psychiatric Services 2587 Ravenhill Dr. Fayetteville, NC 28303 (Cumberland County) 910-323-1543 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: 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 Gary Schwager (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 122 W. Vernon St. Wake Forest, NC 27587 (Wake County) 919-903-3182 Geertina Ellis, Hsp-Pa, Lpa (Medicaid) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychological Testing 5242 Sundown Dr. Fayetteville, NC 28303 (Cumberland County) 910-670-9689 Page: 97 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Geriatric Neuropsychiatry Services, (Medicaid) Ages: Services: Pllc Assessment; Counseling/Outpatient Therapy 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 Pl Ste 346 Raleigh, NC 27609 (Wake County) 919-834-2089 Graham Moore & Clark, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1015 Bristoe Drive Apt 306 Knightdale, NC 27545 (Wake County) 919-710-7332 Growing Child Pediatrics, Pa (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing 270 Horizon Drive Raleigh, NC 27615 (Wake County) 919-488-0015 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 Harnett Counseling Services, P.C. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1186 North Main Street Lillington, NC 27546 (Harnett County) 910-814-0909 Harold Williams, Lpa (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 723 W. Johnson Street Raleigh, NC 27603 (Wake County) 919-880-7071 Page: 98 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Harris & Company Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3326 Durham Chapel Hill Blvd Bldg D Durham, NC 27707 (Durham County) 919-806-0130 Hasan A Baloch Md (Medicaid) Ages: Psychiatric Services Services: 3126 Blue Ridge Rd Raleigh, NC 27612 (Wake County) 919-237-9081 Haymount Institute For Psychological Services Pllc (Medicaid) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychiatric Services; Psychological Testing 806 Hay St 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 St Ste 217 Rocky Mount, NC 27801 (Edgecombe County) 919-523-2100 Heidi Herring, Lpc, Lcas (Medicaid) Ages: Services: 174 Bitmore Rd Whiteville, NC 28472 (Columbus County) 910-640-1830 Hope-Thru-Horses Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 162 Schmidt Lane Lumber Bridge, NC 28357 (Robeson County) 910-494-5888 351 Wagoner Avenue Fayetteville, NC 28303 (Cumberland County) 910-494-5888 Horizon Mental Health Management, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 100 Hospital Dr Louisburg, NC 27549 (Franklin County) 919-497-8070 www.horizonhealth.com Inner Compass Therapy, Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3749 Benson Drive Raleigh, NC 27609 (Wake County) 919-633-7230 Page: 99 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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: And Integrative Wellness Center, Counseling/Outpatient Therapy; Psychiatric Services Pllc 102 Towerview Ct Cary, NC 27513 (Wake County) 919-594-6510 Innovation Therapies, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3201 Yorktown Ave Ste 217a Durham, NC 27713 (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: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 5884 Faringdon Pl Ste 200 Raleigh, NC 27609 (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 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 Msw Lcsw Inc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2018 Fort Bragg Rd Ste 114 A Fayetteville, NC 28303 (Cumberland County) 910-670-3223 Page: 100 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 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 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 Assessment; Counseling/Outpatient Therapy; Psychiatric Services 24 Second Avenue, Ne, Suite 201 Hickory, NC 28601 (Catawba County) 828-324-9900 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 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 Page: 101 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 1 Hwy Youngsville, NC 27596 (Franklin County) 919-562-9922 Johnston Psychiatric Associates, P.A. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 2076 Nc Highway 42 W Ste 220 Clayton, NC 27520 (Johnston County) 919-550-3323 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 6112 Saint Giles St Ste 406 Raleigh, NC 27612 (Wake County) 919-272-6932 www.amwoodson.com 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 Judith Dickens Mpa Ms Ccs Lcas Lpc (Medicaid) Ages: Services: Counseling/Outpatient Therapy 111 Windel Dr Ste 205 Raleigh, NC 27609 (Wake County) 919-610-5172 www.judithdickens.com Kamilah Jones, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1027 Us Hwy 70 W Ste 201 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 Page: 102 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 Karen Smith Counseling, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 174 Mine Lake Ct #200 Raleigh, NC 27615 (Wake County) 919-624-4566 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 Raleigh, NC 27615 (Wake County) 919-602-8433 Kelly A. Brown, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 301 Kilmayne Dr Ste 204 Cary, NC 27511 (Wake County) 919-815-1382 602 E Academy St Ste 205 Fuquay Varina, NC 27526 (Wake County) 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 Page: 103 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Kimberly Scott (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2012 S. Main Street Suite 500d Wake Forest, NC 27587 (Wake County) 919-324-7361 Kristen Bird Lmft (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 200 E Main St Ste 201 Clayton, NC 27520 (Johnston County) 919-585-2282 Ladonna Clark, Lcas (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2949 New Bern Ave Raleigh, NC 27610 (Wake County) 919-212-8156 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 W Millbrook Rd Raleigh, NC 27609 (Wake County) 919-815-4984 Lawrence Andrew Champion Md (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 2609 N Duke St Suite 306 Durham, NC 27704 (Durham County) 919-241-4613 Life Foundations Wellness And (Medicaid) Ages: Services: Supportive Counseling Services, Llc Assessment; Counseling/Outpatient Therapy 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 Page: 104 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Lifesource Of North Carolina, Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 5617 Maxwell Place 5617 Maxwell Place, NC 28409 (New Hanover County) 910-535-1211 www.lifesourceinc.org Lifetime Counseling Services, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 916 Arsenal Ave Ste B Fayetteville, NC 28305 (Cumberland County) 910-864-0390 Lisa Parker, Md (Medicaid) Ages: Services: 124 Luther Rd Raleigh, NC 27610 (Wake County) 919-946-4712 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: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 127 Us Highway 70 West Garner, NC 27529 (Wake County) 910-426-3059 Longmire's Counseling, Consulting (Medicaid) Ages: Services: And Training, Llc Assessment; Counseling/Outpatient Therapy 6238 Penfield Dr Fayetteville, NC 28314 (Cumberland County) 910-728-3420 Lucy Daniels Center For Early Childhood (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing 9003 Weston Pkwy Cary, NC 27513 (Wake County) 919-677-1459 Lutrino M. Blalock Lpa (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 312 West Millbrook Rd Suite 137 Raleigh, NC 27609 (Wake County) Page: 105 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Mabel Stellato Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1318 Raeford Rd Ste 1 Fayetteville, NC 28305 (Cumberland County) 919-910-6336 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 St Ste 205 Fuquay Varina, NC 27526 (Wake County) 919-285-1818 Marcelo E. Lopez-Claros Md (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3805 Sweeten Creek Rd Chapel Hill, NC 27514 (Orange County) 919-270-7773 Margaret Glazewska-Newhart Lcsw (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3900 Barrett Dr Ste 311e Raleigh, NC 27609 (Wake County) 919-272-7518 Mark Chandler Md (Medicaid) Ages: Services: 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 215 William Penn Plz apt 1025 Durham, NC 27704 (Durham County) 919-414-4603 Martin Weinrauch Md (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 2850 Village Drive Suite 104 Fayetteville, NC 28304 (Cumberland County) 910-483-4687 Page: 106 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 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 Melissa M. Penwell, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 102 Commonwealth Court Suite H Cary, NC 27511 (Wake County) 919-319-1163 Michael T. Davitt, Lcsw (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 1103 Esher Ct Raleigh, NC 27609 (Wake County) 919-449-7358 Mindful Bodies, Llc (Medicaid) Ages: Services: 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 Monique Brown, M.D., P.C. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 154 Sw Main St 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 1020 Southhill Drive Suite 300 Cary, NC 27513 (Wake County) 919-345-4830 Page: 107 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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: Assessment; Counseling/Outpatient Therapy 1106 W Cornwallis Rd Suite 103 Durham, NC 27705 (Durham County) 919-413-7702 Nc Therapy And Counseling Services Pa (Medicaid) Ages: Services: Counseling/Outpatient Therapy 916 Arsenal Ave Ste B Fayetteville, NC 28305 (Cumberland County) 910-339-2663 New Beginnings Counseling Services (Medicaid) Ages: Services: 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 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 Nio Psychological Services, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing 602 E. Academy St. Suite 106 Fuquay Varina, NC 27526 (Wake County) 919-274-5618 122 W Vernon Ave Wake Forest, NC 27587 (Wake County) 919-274-5618 Page: 108 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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: Assessment; Counseling/Outpatient Therapy 130 Commerce Pkwy Suite 111 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 Ste 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 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 Us 70 Business Hwy W Clayton, NC 27520 (Johnston County) 919-607-9087 Patricia J. Tuohy (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 302 E Church St Benson, NC 27504 (Johnston County) 919-701-1048 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 Page: 109 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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: Assessment; Counseling/Outpatient Therapy 817 West Front Street Lillington, NC 27546 (Harnett County) 910-814-2197 Piedmont Behavioral Services, Pc (Medicaid) Ages: Services: MH / SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services 3200 Waterfield Drive Garner, NC 27529 (Wake County) 601-622-5652 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 Premiere Health And Wellness Medical Center (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 2609 N Duke St Ste 403 Durham, NC 27704 (Durham County) 919-416-4700 Priya Sheth, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 103 Kilmayne Dr Ste C Cary, NC 27511 (Wake County) 919-917-3171 Psychiatric Consultants Of Cary, Pllc (Medicaid) Ages: Psychiatric Services Services: 200 Keisler Drive Suite A Cary, NC 27518 (Wake County) 919-967-6646 Psychological Medicine Clinic Pllc (Medicaid) Ages: Services: Assessment; Psychiatric Services 1810 Westwood Avenue Wilson, NC 27893 (Wilson County) 252-291-6200 Page: 110 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Psychological Mobile Services, Pa (Medicaid; State) Ages: Services: IDD Assessment; Counseling/Outpatient Therapy; Innovations Services; Psychological Testing 105 S Ellington St Clayton, NC 27520 (Johnston County) 252-243-0454 2401 Wooten Blvd Sw Ste K Wilson, NC 27893 (Wilson County) 252-243-0454 Rachel M. Marshall, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 5613 Duraleigh Road Suite 161 Raleigh, NC 27610 (Wake County) 919-866-2181 Rachell Davis, Pmhnp (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 174 Mine Lake Court Suite 200 Raleigh, NC 27615 (Wake County) 919-800-0757 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: Counseling/Outpatient Therapy 801 Gilbert Street Ste 213 Durham, NC 27701 (Durham County) 919-265-3119 Rebecca E Quirk Lcsw (Medicaid) Ages: Services: Counseling/Outpatient Therapy 5313 Easthorpe Dr Raleigh, NC 27613 (Wake County) 919-397-5187 Regina Kelly, Lcsw (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 201 S Mcpherson Church Road Suite 214 Fayetteville, NC 28303 (Cumberland County) 910-920-0008 Regina Wesley Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 910 Person St Fayetteville, NC 28301 (Cumberland County) 910-850-4845 Reliable Health Services, Inc. (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 1020 S Miami Blvd Ste 107 Durham, NC 27703 (Durham County) Page: 111 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Renew Counseling Center Of Nc, Llc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 3121 N Main St Hope Mills, NC 28348 (Cumberland County) 910-779-0454 Rhema Counseling And Support Services, Pc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 5317 Highgate Dr 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 Dr Ste 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 C. Pennebaker, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 548 Sandhurst Dr Fayetteville, NC 28304 (Cumberland County) Robert M James Jr Ph.D. Pa (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 6208 Fayetteville Rd Suite 106 Durham, NC 27713 (Durham County) 919-317-1449 Robert W. Slemmer Lpc (Medicaid) Ages: Services: 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 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 Page: 112 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 St 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 301 Bellaris St 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 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 Page: 113 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 6512 Six Forks Rd Suite 200 Raleigh, NC 27615 (Wake County) 919-307-8165 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 Rd Ste 204 Fayetteville, NC 28303 (Cumberland County) 910-850-2335 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 Ste 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 Page: 114 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Stacey S. Drake, Lcsw (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 8520-104 Six Forks Rd Raleigh, NC 27615 (Wake 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 St Benson, NC 27504 (Johnston County) 919-701-1048 Steven Roi Edelman Lpa (Medicaid) Ages: Services: Assessment; Psychological Testing 907 Hay Street Suite 203 Fayetteville, NC 28305 (Cumberland County) 910-578-4598 Tamekia Powell (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 4922 Windy Hill Drive Suite A Raleigh, NC 27609 (Wake County) 919-426-5901 Tanya J. Guinn, Lpc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 800 W Williams St. Ste 231-O Apex, NC 27502 (Wake County) 919-961-2147 Tara M. Russian, Lcsw (Medicaid) Ages: Services: 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: 24 2nd Avenue Ne Ste 201 Hickory, NC 28601 (Catawba County) 828-324-9900 The Center For Child And Family Health, Inc. (Medicaid; State) Ages: Services: SA Assessment; Counseling/Outpatient Therapy; Psychiatric Services 411 W Chapel Hill St Suite 908 Durham, NC 27701 (Durham County) 919-419-3474 Page: 115 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) The Hope Centre For Advancement (Medicaid) Ages: Services: Llc Assessment; Counseling/Outpatient Therapy; Psychiatric Services 701 Morreene Road Durham, NC 27705 (Durham County) 919-383-0426 [email protected] 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 Dr 101 Raleigh, NC 27609 (Wake County) 919-785-9944 The Seed Planter Coaching & Counseling, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 4917 Professional Ct., Ste 200 Raleigh, NC 27609 (Wake County) 919-995-8452 www.the-seed-planter.com Thelma M. Cherry, Lcsw (Medicaid) Ages: Services: 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, Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 112 Cox Ave Ste 205 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 Therapeutic Solutions Professional (Medicaid) Ages: Services: SA Counseling Group Assessment; Counseling/Outpatient Therapy 201 S Mcpherson Church Road Suite 202 Fayetteville, NC 28303 (Cumberland County) 910-916-6657 tspcounseling.com Page: 116 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Thomas J Harbin Phd (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 2411 Robeson St Suite 200 Fayetteville, NC 28305 (Cumberland County) 910-609-1990 Thomas K. Mckean, Md, Pllc (Medicaid) Ages: Services: MH Assessment; Psychiatric Services 24 Second Avenue, Ne Hickory, NC 28601 (Catawba County) 828-324-9900 Thomas P Cornwall, Md (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services; Psychological Testing 3019 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-247-7992 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 Triangle Counseling Agency (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 4913 Professional Court Suite 8 Raleigh, NC 27609 (Wake County) 919-277-0253 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 Tricare Counseling & Consulting, Inc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychological Testing 731 Tilghman Dr. Dunn, NC 28334 (Harnett County) 910-249-4219 www.tricarecounseling.com Page: 117 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) 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 28305 (Cumberland County) 910-849-4419 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 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 Voice Therapeutic Solutions Pllc (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy; Psychiatric Services 3712 Benson Dr Suite 202 Raleigh, NC 27609 (Wake County) 919-452-1577 Page: 118 of 125 Provider Network Listing May 2015 Provider Name Site & Address Licensed Independent Practictioners (LIPs) Vonda Dionne Jones-Hudson Ph.D (Medicaid) Ages: Services: Assessment; Counseling/Outpatient Therapy 2915 Raeford Rd Ste 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 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 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 W Front St Lillington, NC 27546 (Harnett County) 910-814-2197 William Y Carlton, Md (Medicaid) Ages: Services: Assessment; 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 2720 Georgetown Dr Winston Salem, NC 27106 (Forsyth County) 336-896-9771 Winston Psychiatric Associates, Pa (Medicaid) Ages: Services: 125 Ashleybrook Sq Winston Salem, NC 27103 (Forsyth County) 336-765-6577 Page: 119 of 125 Provider Network Listing May 2015 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 Carolinas Medical Center Dba Behavioral Health Center Cmc Randolph (Medicaid) Ages: Services: 501 Billingsley Rd Charlotte, NC 28211 (Mecklenburg County) 704-358-2719 www.cmc-randolph.org Central Regional Hospital (Medicaid; State) Ages: Inpatient Services Services: 300 Veazey Rd. Butner, NC 27509 (Granville 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 150 Robeson Street Fayetteville, NC 28301 (Cumberland County) 910-615-3741 capefearvalley.com Page: 120 of 125 Provider Network Listing May 2015 Provider Name Site & Address Hospitals 1724 Roxie Avenue Fayetteville, NC 28304 (Cumberland County) 910-615-3741 capefearvalley.com 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 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: 121 of 125 Provider Network Listing May 2015 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 Hamlet Hma Llc Dba Sandhills Regional Medical Center (Medicaid) Ages: Services: 1000 W Hamlet Ave Hamlet, NC 28345 (Richmond County) Holly Hill Hospital, Llc (Medicaid; State) Ages: Inpatient Services Services: 3019 Falstaff Rd Raleigh, NC 27610 (Wake County) 919-250-7186 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: 509 North Brightleaf Blvd Smithfield, NC 27577 (Johnston County) 919-938-7155 2138 Nc Hwy 42 West Clayton, NC 27520 (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 Nash Hospitals, Inc. (Medicaid) Ages: Services: 2301 Medpark Drive Rocky Mount, NC 27804 (Edgecombe County) 252-962-5441 www.nhcs.org Page: 122 of 125 Provider Network Listing May 2015 Provider Name Site & Address Hospitals 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) Ages: Vidant Medical Center Psychiatric Services Services: MH 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) Scotland Memorial Hospital, Inc. (Medicaid) Ages: Services: 500 Lauchwood Drive Laurinburg, NC 28352 (Scotland County) Page: 123 of 125 Provider Network Listing May 2015 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 Carolinas Emergency Group, Pllc (Medicaid) Ages: Services: 800 Tilghman Drive Dunn, NC 28334 (Harnett 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 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 101 Manning Drive Chapel Hill, NC 27514 (Orange County) 919-966-0415 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 Page: 124 of 125 Provider Network Listing May 2015 Provider Name Site & Address Hospitals 325 Russet Run Pittsboro, NC 27312 (Chatham County) 919-966-2174 www.TEACCH.com Wake Forest University Health Sciences (Medicaid) Ages: Services: 1240 Huffman Mill Road Burlington, NC 27215 (Alamance County) Wayne Memorial Hospital, Inc. (Medicaid) Ages: Services: 2700 Wayne Memorial Dr. Goldsboro, NC 27533 (Wayne County) 919-587-4700 www.waynehealth.org Page: 125 of 125
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