Robyn Ann Mirassou, LPCA | |
7489 Rockfish Rd, Raeford, NC 28376-6131 | |
(910) 584-6739 | |
(833) 260-0543 |
Full Name | Robyn Ann Mirassou |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7489 Rockfish Rd, Raeford, 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 |
---|---|---|---|
1235788647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Divine Wellness Therapeutic Center, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578291308 PECOS PAC ID: 9931546751 Enrollment ID: O20240328000530 |
Mailing Address | Practice Location Address |
---|---|
Robyn Ann Mirassou, LPCA 7489 Rockfish Rd, Raeford, NC 28376-6131 Ph: (910) 584-6739 | Robyn Ann Mirassou, LPCA 7489 Rockfish Rd, Raeford, NC 28376-6131 Ph: (910) 584-6739 |
Rhonda Peterson, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Elwood Ave, Raeford, NC 28376 Phone: 910-875-8156 | |
Melinda Brown, BSW, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Harris Ave, Raeford, NC 28376 Phone: 336-324-3845 | |
Tara Hollingsworth-pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2148 Hwy 401 Bus, Raeford, NC 28376 Phone: 910-565-2857 Fax: 910-248-6258 | |
Ms. Kathleen Marie Richard, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Mcrae St, Raeford, NC 28376 Phone: 817-307-2496 Fax: 910-248-6649 | |
Mary Covington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2194-a Hillcrest Plaza, Raeford, NC 28376 Phone: 910-904-2840 Fax: 910-904-2847 | |
Shonda Mciver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Aggies Ln, Raeford, NC 28376 Phone: 910-977-8599 Fax: 910-904-6699 | |
Nastasia Marie Street, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Harris Ave, Raeford, NC 28376 Phone: 910-875-5590 Fax: 910-875-5008 |