Organization · Type 2 NPI

Nova Ic, Inc.

Community/Behavioral Health Agency · Goldsboro, NC

NPI number 1831418185 Active

Practice location

2307 Norwood Ave Ste A
Goldsboro, NC 27534-1601

Call (919) 734-8803 Map

Fax (919) 735-6825

Mailing address

PO Box 11077
Goldsboro, NC 27532-1077

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	0715 (NC)
Psychiatry Physician	2084P0800X	31639 (NC)
Community/Behavioral Health Agency	251S00000X	MHL-054-018 (NC)
Community/Behavioral Health Agency Primary	251S00000X	MHL-096-216 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

9 other providers at this address

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NPI record

NPI: 1831418185
Entity type: Organization (Type 2)
Issued: May 26, 2010
Last updated: Sep 23, 2026
Status: Active

Other names

<unavail>
Community Behavioral Health Services · doing business as
Community Behavioral Health Services · doing business as

Authorized official

Tracey Pridgen, CPA
CFO
(919) 734-8803

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831418185

Nova Ic, Inc.'s National Provider Identifier is 1831418185, issued on May 26, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Goldsboro, NC. The record was last updated on Sep 23, 2026.