Atlas Counseling Pllc | |
816 Brawley School Rd Ste F 4 Mooresville NC 28117-6201 | |
(704) 658-9676 | |
(704) 799-3258 |
Full Name | Atlas Counseling Pllc |
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Speciality | Social Worker |
Location | 816 Brawley School Rd Ste F, Mooresville, North Carolina |
Authorized Official Name and Position | Marilyn S Atlas (MANAGER PSYCHOTHERAPIST) |
Authorized Official Contact | 7046589676 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlas Counseling Pllc 816 Brawley School Rd Ste F 4 Mooresville NC 28117-6201 Ph: (704) 658-9676 | Atlas Counseling Pllc 816 Brawley School Rd Ste F 4 Mooresville NC 28117-6201 Ph: (704) 658-9676 |
NPI Number | 1538369442 |
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Provider Enumeration Date | 07/19/2007 |
Last Update Date | 06/24/2010 |
Medicare PECOS PAC ID | 0143353904 |
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Medicare Enrollment ID | O20100729000870 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538369442 | NPI | - | NPPES |
6106455 | Medicaid | NC | |
143NJ | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C004741 (North Carolina) | Primary |
Provider Name | Marilyn S Atlas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336229442 PECOS PAC ID: 7214060078 Enrollment ID: I20100804001072 |
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