| A New Leaf Therapeutic Services, Pllc | |
|
920 Cambridge St Fayetteville NC 28303-5300 | |
| (910) 849-3355 | |
| Not Available |
| Full Name | A New Leaf Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 920 Cambridge St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Judith J. Hill (OWNER) |
| Authorized Official Contact | 9104933555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Leaf Therapeutic Services, Pllc 920 Cambridge St Fayetteville NC 28303-5300 Ph: (910) 849-3355 | A New Leaf Therapeutic Services, Pllc 920 Cambridge St Fayetteville NC 28303-5300 Ph: (910) 849-3355 |
| NPI Number | 1710391867 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 02/01/2017 |
| Medicare PECOS PAC ID | 0345567137 |
|---|---|
| Medicare Enrollment ID | O20150314000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710391867 | NPI | - | NPPES |
| Provider Name | Amy L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720174022 PECOS PAC ID: 5193880375 Enrollment ID: I20090223000534 |
| Provider Name | Judith J Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558456483 PECOS PAC ID: 4587893474 Enrollment ID: I20140219001405 |
| Provider Name | Aaron A Brodsky |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1184694481 PECOS PAC ID: 4183672348 Enrollment ID: I20190829001672 |
| Provider Name | Niaisha Shenese Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548816887 PECOS PAC ID: 5294125605 Enrollment ID: I20211129001119 |
| Provider Name | Samantha Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275298283 PECOS PAC ID: 2365832292 Enrollment ID: I20211208000024 |
| Provider Name | Jenna Alexa Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710595301 PECOS PAC ID: 2466820337 Enrollment ID: I20221128000085 |
| Provider Name | Patrick Dermico Elliott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710602933 PECOS PAC ID: 5890164495 Enrollment ID: I20221202001416 |
| Provider Name | Kiana Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194489013 PECOS PAC ID: 6800265869 Enrollment ID: I20221213003400 |
| Provider Name | Alana Marie Rauhoff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942694500 PECOS PAC ID: 3072982057 Enrollment ID: I20221214000817 |
| Provider Name | Heather M Bonilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386730604 PECOS PAC ID: 6204207715 Enrollment ID: I20230120000213 |
| Provider Name | Darlene Lorenzo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952098931 PECOS PAC ID: 6608233325 Enrollment ID: I20230612000076 |
| Provider Name | Sean Gregory Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851938963 PECOS PAC ID: 4082058540 Enrollment ID: I20240223000475 |
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