Michael Wieleba, | |
916 Broad St, Durham, NC 27705-4142 | |
(919) 452-1012 | |
Not Available |
Full Name | Michael Wieleba |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 916 Broad St, Durham, 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 |
---|---|---|---|
1982904082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 3157 (North Carolina) | Primary |
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Mailing Address | Practice Location Address |
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Michael Wieleba, 7125 Calais Dr, Durham, NC 27712-9653 Ph: () - | Michael Wieleba, 916 Broad St, Durham, NC 27705-4142 Ph: (919) 452-1012 |
Kate Thieda, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 W Main St, Suite 400a, Durham, NC 27705 Phone: 919-416-1727 | |
Dr. Anita Bhat, PSY.D.,M.A.,LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 S Miami Blvd, Suite 103, Durham, NC 27703 Phone: 919-806-0497 Fax: 866-820-8694 | |
Jessica Farmer, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Park Offices Dr Ste 300, Durham, NC 27709 Phone: 919-502-0861 | |
Mr. Michael Jason Wesson, MSW, LCSW, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 5475 Lumley Rd, Ste 101, Durham, NC 27703 Phone: 919-405-7200 Fax: 919-405-7266 | |
Mrs. Melissa Maloko, QP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Capitola Dr, Suite 310, Durham, NC 27713 Phone: 919-474-6400 | |
Nikeya Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2609 N. Duke Street, Durham, NC 27704 Phone: 919-401-1151 | |
Aurellia Anderson Thompson, LMFTA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1921 N Pointe Dr Ste 201b, Durham, NC 27705 Phone: 919-408-7971 |