| Avalon Counseling Center, Pllc | |
|
1230 Se Maynard Rd Ste 204 Cary NC 27511-6945 | |
| (919) 468-9122 | |
| (919) 468-9122 |
| Full Name | Avalon Counseling Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1230 Se Maynard Rd Ste 204, Cary, North Carolina |
| Authorized Official Name and Position | Kelly Orr Belk (MANAGER) |
| Authorized Official Contact | 9194689122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Counseling Center, Pllc 1230 Se Maynard Rd Ste 204 Cary NC 27511-6945 Ph: (919) 468-9122 | Avalon Counseling Center, Pllc 1230 Se Maynard Rd Ste 204 Cary NC 27511-6945 Ph: (919) 468-9122 |
| NPI Number | 1699809301 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699809301 | NPI | - | NPPES |
| A8774 | Other | NC | MEDCOST PREFERRED |
| 014WR | Other | NC | BLUE CROSS |
| 6005211 | Medicaid | NC | |
| 014WR | Other | NC | STATE OF NC HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003783 (North Carolina) | Primary |
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