Heather M Bonilla, MSW, LCSW | |
581 Executive Pl Ste 500, Fayetteville, NC 28305-5794 | |
(910) 705-1797 | |
Not Available |
Full Name | Heather M Bonilla |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 581 Executive Pl Ste 500, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386730604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P003348 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C005798 (North Carolina) | Primary |
Entity Name | A New Leaf Therapeutic Services, Pllc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710391867 PECOS PAC ID: 0345567137 Enrollment ID: O20150314000360 |
Mailing Address | Practice Location Address |
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Heather M Bonilla, MSW, LCSW 3482 Peaceful Farm Dr, Fayetteville, NC 28312-7129 Ph: (831) 241-4326 | Heather M Bonilla, MSW, LCSW 581 Executive Pl Ste 500, Fayetteville, NC 28305-5794 Ph: (910) 705-1797 |
Mrs. Maria Rivera, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3421 Murchison Rd, Fayetteville, NC 28311 Phone: 910-630-6300 | |
Bryan Holliday, LCSWA, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4602 Sterling St, Fayetteville, NC 28306 Phone: 910-551-8552 | |
Mrs. Tracey B Natale, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396 | |
Ms. Mitchell Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Carl T Cogdell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 252-717-5043 | |
Morgan Okorn, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006 | |
Kari Whirry, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Raeford Rd Ste A, Fayetteville, NC 28305 Phone: 910-491-8901 |