| Adullam Counseling Services, Pllc | |
|
2906 Hull Rd Kinston NC 28504-8238 | |
| (252) 582-0504 | |
| (252) 351-0343 |
| Full Name | Adullam Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2906 Hull Rd, Kinston, North Carolina |
| Authorized Official Name and Position | Efcel Aaron Velez (MEMBER/ORGANIZER) |
| Authorized Official Contact | 6054155311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adullam Counseling Services, Pllc 106 W Raintree Ln Goldsboro NC 27534-7362 Ph: (605) 415-5311 | Adullam Counseling Services, Pllc 2906 Hull Rd Kinston NC 28504-8238 Ph: (252) 582-0504 |
| NPI Number | 1710699442 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 2769828441 |
|---|---|
| Medicare Enrollment ID | O20240316000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710699442 | NPI | - | NPPES |
| 1588153621 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Efcel Aaron Velez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588153621 PECOS PAC ID: 3678919354 Enrollment ID: I20240316000226 |
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