| Banner Consulting And Counseling Of North Carolina, Pllc | |
|
2525 Raeford Rd Ste B Fayetteville NC 28305-5092 | |
| (910) 491-8901 | |
| (910) 891-8902 |
| Full Name | Banner Consulting And Counseling Of North Carolina, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2525 Raeford Rd Ste B, Fayetteville, North Carolina |
| Authorized Official Name and Position | Carol Michelle Duke (OWNER) |
| Authorized Official Contact | 9123359490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Consulting And Counseling Of North Carolina, Pllc 2525 Raeford Rd Ste B Fayetteville NC 28305-5092 Ph: (910) 491-8901 | Banner Consulting And Counseling Of North Carolina, Pllc 2525 Raeford Rd Ste B Fayetteville NC 28305-5092 Ph: (910) 491-8901 |
| NPI Number | 1710508205 |
|---|---|
| Provider Enumeration Date | 05/06/2020 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Medicare PECOS PAC ID | 4981099215 |
|---|---|
| Medicare Enrollment ID | O20220323000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710508205 | NPI | - | NPPES |
| Provider Name | Lynsey V Flaherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205073731 PECOS PAC ID: 2567511827 Enrollment ID: I20090518000245 |
| Provider Name | Carol M Duke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194192237 PECOS PAC ID: 4981994472 Enrollment ID: I20160613001579 |
| Provider Name | Eva S Schildhause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326652546 PECOS PAC ID: 6901266444 Enrollment ID: I20230717000922 |
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