Mr Matthew Alan Smith, MS, NCC, LPC | |
602 E Academy St Ste 105, Fuquay Varina, NC 27526-2382 | |
(919) 753-1275 | |
Not Available |
Full Name | Mr Matthew Alan Smith |
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Gender | Male |
Speciality | Counselor |
Location | 602 E Academy St Ste 105, Fuquay Varina, 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 |
---|---|---|---|
1164065926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 7740 (North Carolina) | Primary |
Entity Name | Thriveworks Clinical - North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
Mailing Address | Practice Location Address |
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Mr Matthew Alan Smith, MS, NCC, LPC 992 Falls Park Dr, Sanford, NC 27330-8302 Ph: (910) 585-0028 | Mr Matthew Alan Smith, MS, NCC, LPC 602 E Academy St Ste 105, Fuquay Varina, NC 27526-2382 Ph: (919) 753-1275 |
Judy Klimcheck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Sunset Dr, Fuquay Varina, NC 27526 Phone: 919-787-6131 Fax: 919-571-2932 | |
Kelly Zander, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1441 E Broad St Ste 112, Fuquay Varina, NC 27526 Phone: 919-275-0456 | |
Brittany N Starbuck, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Academy St, Fuquay Varina, NC 27526 Phone: 919-980-5312 | |
Melissa Register Meyers, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Judd Pkwy Ne, Suite 200, Fuquay Varina, NC 27526 Phone: 919-557-8222 Fax: 919-557-8223 | |
Clara M Stiers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8132 Robincrest Ct, Fuquay Varina, NC 27526 Phone: 919-552-3467 | |
Mrs. Kimball Jane-marie Sargent, MSN, PMHCNS-BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7155 Sunset Lake Rd, Fuquay Varina, NC 27526 Phone: 919-838-0804 Fax: 919-838-1219 |