Ms Kornelia Wall Purcell, LCAS-A - Counselor in Fayetteville, NC

Ms Kornelia Wall Purcell, LCAS-A is a Counselor - Addiction (substance Use Disorder) based in Fayetteville, North Carolina. Ms Kornelia Wall Purcell is licensed to practice in North Carolina (license number LCAS-23460) and her current practice location is 2212 Hope Mills Rd, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 779-0454.

NPI number for Ms Kornelia Wall Purcell is 1932824372 and her current mailing address is 2212 Hope Mills Rd, Fayetteville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932824372.

Contact Information

Ms Kornelia Wall Purcell, LCAS-A
2212 Hope Mills Rd,
Fayetteville, NC 28304-4228
(910) 779-0454
(910) 491-0833

Map and Direction


Healthcare Provider's Profile

Full NameMs Kornelia Wall Purcell
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2212 Hope Mills Rd, Fayetteville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932824372
  • Provider Enumeration Date: 10/07/2022
  • Last Update Date: 10/07/2022

Medical Identifiers

Medical identifiers for Ms Kornelia Wall Purcell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932824372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-23460 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kornelia Wall Purcell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kornelia Wall Purcell, LCAS-A
2212 Hope Mills Rd,
Fayetteville, NC 28304-4228

Ph: (910) 779-0454
Ms Kornelia Wall Purcell, LCAS-A
2212 Hope Mills Rd,
Fayetteville, NC 28304-4228

Ph: (910) 779-0454

Reviews and Comments


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