| Aniwaya Counseling Pllc | |
|
202 S Old Statesville Rd Huntersville NC 28078-9700 | |
| (828) 273-8108 | |
| (704) 582-6207 |
| Full Name | Aniwaya Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 202 S Old Statesville Rd, Huntersville, North Carolina |
| Authorized Official Name and Position | Jessica Nichole Crowe (OWNER/MH PROVIDER) |
| Authorized Official Contact | 8282738108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aniwaya Counseling Pllc 4648 Kipling Dr Charlotte NC 28212-5332 Ph: (828) 273-8108 | Aniwaya Counseling Pllc 202 S Old Statesville Rd Huntersville NC 28078-9700 Ph: (828) 273-8108 |
| NPI Number | 1811531429 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 1658709340 |
|---|---|
| Medicare Enrollment ID | O20200311001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811531429 | NPI | - | NPPES |
| 1164824843 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica N Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164824843 PECOS PAC ID: 9638450802 Enrollment ID: I20161229001731 |
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