Travis Antonio Shoulars, MS, MPA, LPCA, NCC | |
100 Elm St, Weldon, NC 27890-1934 | |
(252) 537-4005 | |
Not Available |
Full Name | Travis Antonio Shoulars |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 100 Elm St, Weldon, 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 |
---|---|---|---|
1528555398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A13915 (North Carolina) | Primary |
Entity Name | M&t Counseling Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811693153 PECOS PAC ID: 5294171831 Enrollment ID: O20240306001289 |
Mailing Address | Practice Location Address |
---|---|
Travis Antonio Shoulars, MS, MPA, LPCA, NCC 46 Camden Ct, Roanoke Rapids, NC 27870-9077 Ph: (252) 339-3804 | Travis Antonio Shoulars, MS, MPA, LPCA, NCC 100 Elm St, Weldon, NC 27890-1934 Ph: (252) 537-4005 |
Dr. Latoria S Fleming, PHD, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Elm St, Weldon, NC 27890 Phone: 252-578-0102 | |
Latashia Joann Palmer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 Welmont St, Weldon, NC 27890 Phone: 571-439-0127 | |
Kendrell Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Elm St, Weldon, NC 27890 Phone: 252-537-4005 | |
Mr. Clinton Mccray Williams, LCMHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Elm St, Weldon, NC 27890 Phone: 522-537-4005 Fax: 252-537-0329 |