| All-american Counseling Wellness | |
|
5619 Ramsey St Fayetteville NC 28311-1423 | |
| (910) 489-1405 | |
| Not Available |
| Full Name | All-american Counseling Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 5619 Ramsey St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Bobette N Smith (OWNER) |
| Authorized Official Contact | 9104891405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All-american Counseling Wellness 7250 Sandcastle Ln Linden NC 28356-9437 Ph: (910) 489-1405 | All-american Counseling Wellness 5619 Ramsey St Fayetteville NC 28311-1423 Ph: (910) 489-1405 |
| NPI Number | 1104337625 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Medicare PECOS PAC ID | 1850651076 |
|---|---|
| Medicare Enrollment ID | O20180208001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104337625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Tara Russian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720144728 PECOS PAC ID: 9032377353 Enrollment ID: I20120216000051 |
| Provider Name | Bobette N Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013314921 PECOS PAC ID: 9436479201 Enrollment ID: I20150519000026 |
| Provider Name | Tasheka Shanelle Travers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396015129 PECOS PAC ID: 9638451081 Enrollment ID: I20170120000883 |
| Provider Name | Sharon Venita Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205256435 PECOS PAC ID: 8628354735 Enrollment ID: I20170404000147 |
| Provider Name | Amber Medlin Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003292814 PECOS PAC ID: 8921365784 Enrollment ID: I20171202000171 |
| Provider Name | Kelly K Waite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558790840 PECOS PAC ID: 5496099731 Enrollment ID: I20181127003297 |
| Provider Name | Madison Rachel Zwiebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629521026 PECOS PAC ID: 0446594295 Enrollment ID: I20181204003872 |
| Provider Name | Charnele D Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578060703 PECOS PAC ID: 4284979675 Enrollment ID: I20181212002407 |
| Provider Name | Cheryl J Fiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457371064 PECOS PAC ID: 6204851777 Enrollment ID: I20190724001512 |
| Provider Name | Melissa Locklear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134466311 PECOS PAC ID: 6800297573 Enrollment ID: I20210701002235 |
| Provider Name | Yazlyn M Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427698828 PECOS PAC ID: 3577949775 Enrollment ID: I20220926000952 |
| Provider Name | Lisa M Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295332112 PECOS PAC ID: 6507242732 Enrollment ID: I20220926002296 |
| Provider Name | Roxxy A Eppinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477130383 PECOS PAC ID: 3173985215 Enrollment ID: I20230822000235 |
| Provider Name | Malayah Z Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528673530 PECOS PAC ID: 0648624536 Enrollment ID: I20230926003379 |
| Provider Name | Cordelia J Chavis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982249298 PECOS PAC ID: 8628422912 Enrollment ID: I20231221003916 |
| Provider Name | Amy L Justice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609316967 PECOS PAC ID: 4486097235 Enrollment ID: I20240208001417 |
| Provider Name | Lindsay B Fodor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144839184 PECOS PAC ID: 2567800972 Enrollment ID: I20240404001621 |
| Provider Name | Melissa C Seals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225447972 PECOS PAC ID: 8527409416 Enrollment ID: I20240509000985 |
| Provider Name | Ina Morris-robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245838184 PECOS PAC ID: 7810339652 Enrollment ID: I20240524002944 |
| Provider Name | Shannon M Chamblee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609323047 PECOS PAC ID: 3274975727 Enrollment ID: I20240529002415 |
| Provider Name | Asia K Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558028423 PECOS PAC ID: 1658713094 Enrollment ID: I20240530001495 |
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