Mrs Linda Sue Fuller, LCMHCA | |
109 Stancil St, Smithfield, NC 27577-3237 | |
(919) 696-9300 | |
Not Available |
Full Name | Mrs Linda Sue Fuller |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 109 Stancil St, Smithfield, 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 |
---|---|---|---|
1346996865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A17374 (North Carolina) | Primary |
Entity Name | Pride In North Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
Mailing Address | Practice Location Address |
---|---|
Mrs Linda Sue Fuller, LCMHCA 109 Stancil St, Smithfield, NC 27577-3237 Ph: (919) 696-9300 | Mrs Linda Sue Fuller, LCMHCA 109 Stancil St, Smithfield, NC 27577-3237 Ph: (919) 696-9300 |
Mrs. Elaine Margaret Howell, PCC Counselor Medicare: Medicare Enrolled Practice Location: 521 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-989-5576 Fax: 919-989-5576 | |
Mr. Jim Tedrow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Ridge Street, Smithfield, NC 27577 Phone: 919-751-9120 | |
Essance Butts, LCMHC-A, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 S Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-300-4315 Fax: 919-205-1512 | |
Cassandra G Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1319 N Brightleaf Blvd Ste F, Smithfield, NC 27577 Phone: 919-934-1312 | |
Stevie Tyrone Robertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 S 3rd St, Smithfield, NC 27577 Phone: 919-763-2983 | |
Melissa Sue Lloyd, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 S Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-300-4315 | |
Mr. Matthew Stirling Mcclelland, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 N Brightleaf Blvd, Building C, Suite C, Smithfield, NC 27577 Phone: 919-989-7463 Fax: 919-553-8469 |