Mrs Danielle P Kim, LHMHC | |
379 New Market Blvd, Boone, NC 28607-3765 | |
(336) 722-7266 | |
(480) 428-0475 |
Full Name | Mrs Danielle P Kim |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 379 New Market Blvd, Boone, 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 |
---|---|---|---|
1861993511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A13765 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Mood Treatment Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285867952 PECOS PAC ID: 6103068598 Enrollment ID: O20130814000785 |
Mailing Address | Practice Location Address |
---|---|
Mrs Danielle P Kim, LHMHC 713 S Marshall St Ste 1, Winston Salem, NC 27101-5808 Ph: (480) 428-0229 | Mrs Danielle P Kim, LHMHC 379 New Market Blvd, Boone, NC 28607-3765 Ph: (336) 722-7266 |
Emily Jane Capps, LCMHCS, LCAS, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2208 Us Highway 421 N Ste 1, Boone, NC 28607 Phone: 724-968-2435 | |
Alyssa Hensley, M.DIV., LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3505 Bamboo Rd, Boone, NC 28607 Phone: 828-610-8105 | |
Kelsea Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Howard St, Boone, NC 28607 Phone: 336-409-1043 | |
Mr. Robert Michael Cox, LPC Counselor Medicare: Medicare Enrolled Practice Location: 132 Poplar Grove Connector, Suite B, Boone, NC 28607 Phone: 828-264-8759 Fax: 828-262-5687 | |
Thomas Andrew Woodard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 368 Clint Norris Rd, Boone, NC 28607 Phone: 828-265-1455 Fax: 828-265-1535 | |
Ms. Susan Elizabeth Woodard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 368 Clint Norris Rd, Boone, NC 28607 Phone: 828-265-1455 Fax: 828-265-1535 | |
Allison Rayburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Poplar Grove Connector # B, Boone, NC 28607 Phone: 828-264-8759 |