Provider Demographics
NPI:1588706055
Name:TOTAL COMMUNICATION, INC.
Entity type:Organization
Organization Name:TOTAL COMMUNICATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:POLETTI
Authorized Official - Last Name:LACARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-293-0739
Mailing Address - Street 1:PO BOX 8003
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-1003
Mailing Address - Country:US
Mailing Address - Phone:252-293-0739
Mailing Address - Fax:252-237-6569
Practice Address - Street 1:610 NASH ST NE
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3045
Practice Address - Country:US
Practice Address - Phone:252-293-0729
Practice Address - Fax:252-237-6569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
5361251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300040Medicaid