| Bass Counseling Services, Pa | |
|
1010 N Breazeale Ave Mount Olive NC 28365-1106 | |
| (919) 658-7500 | |
| (919) 658-7509 |
| Full Name | Bass Counseling Services, Pa |
|---|---|
| Speciality | Counselor |
| Location | 1010 N Breazeale Ave, Mount Olive, North Carolina |
| Authorized Official Name and Position | Machelle Outlaw Bass (PRESIDENT) |
| Authorized Official Contact | 9196587500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Counseling Services, Pa Po Box 427 Mount Olive NC 28365-0427 Ph: (919) 658-7500 | Bass Counseling Services, Pa 1010 N Breazeale Ave Mount Olive NC 28365-1106 Ph: (919) 658-7500 |
| NPI Number | 1649441221 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649441221 | NPI | - | NPPES |
| 6006374 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 3563 (North Carolina) | Primary |
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