| Blu Jaae Counseling Services | |
|
615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 | |
| (252) 518-5223 | |
| Not Available |
| Full Name | Blu Jaae Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 615 Saint George Square Ct, Winston Salem, North Carolina |
| Authorized Official Name and Position | Ebonee Pertrice Edwards (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 2525185223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blu Jaae Counseling Services 615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 Ph: (252) 518-5223 | Blu Jaae Counseling Services 615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 Ph: (252) 518-5223 |
| NPI Number | 1316765480 |
|---|---|
| Provider Enumeration Date | 09/28/2024 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316765480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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