Dr Nannette Smith Funderburk, PHD, LCMHCS | |
3300 Battleground Ave Ste 304, Greensboro, NC 27410-2491 | |
(336) 285-7173 | |
(336) 285-7174 |
Full Name | Dr Nannette Smith Funderburk |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3300 Battleground Ave Ste 304, Greensboro, 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 |
---|---|---|---|
1720131576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5348 (North Carolina) | Primary |
Entity Name | Sel Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407012966 PECOS PAC ID: 5092073502 Enrollment ID: O20171211000414 |
Mailing Address | Practice Location Address |
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Dr Nannette Smith Funderburk, PHD, LCMHCS 3300 Battleground Ave Ste 304, Greensboro, NC 27410-2491 Ph: (336) 285-7173 | Dr Nannette Smith Funderburk, PHD, LCMHCS 3300 Battleground Ave Ste 304, Greensboro, NC 27410-2491 Ph: (336) 285-7173 |
Paula Katz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3511 W Market St, Suite 100, Greensboro, NC 27403 Phone: 336-632-3505 Fax: 336-632-3503 | |
Shannell Lucas, LCMHC, LCAS, CCS, QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3816 N Elm St Ste C, Greensboro, NC 27455 Phone: 336-545-5995 Fax: 336-545-5996 | |
Peter Reich, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 Englewood St, Greensboro, NC 27403 Phone: 919-280-8990 | |
Tiffanni Starling, LCMHC/LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2706 N Church St, Greensboro, NC 27405 Phone: 336-272-9990 | |
Kate Elizabeth Sweatt, LCMHC, LCAS Counselor Medicare: Medicare Enrolled Practice Location: 3300 Battleground Ave Ste 220, Greensboro, NC 27410 Phone: 336-455-7696 | |
Giovani Burton, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Washington St Ste 101, Greensboro, NC 27401 Phone: 336-333-6860 Fax: 336-275-1187 | |
Kim Antoinette Gray, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Elderbush Ct, Greensboro, NC 27405 Phone: 336-255-5085 |