Blue Rose Counseling, Pllc | |
1415 W Nc Highway 54 Ste 111 Durham NC 27707-5597 | |
(919) 612-1213 | |
(919) 287-2245 |
Full Name | Blue Rose Counseling, Pllc |
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Speciality | Social Worker - Clinical |
Location | 1415 W Nc Highway 54 Ste 111, Durham, North Carolina |
Authorized Official Name and Position | Barbara Ray Lovelady (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9196121213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Rose Counseling, Pllc 3710 Shannon Rd Unit 52054 Durham NC 27717-0750 Ph: (919) 612-1213 | Blue Rose Counseling, Pllc 1415 W Nc Highway 54 Ste 111 Durham NC 27707-5597 Ph: (919) 612-1213 |
NPI Number | 1356005706 |
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Provider Enumeration Date | 10/22/2021 |
Last Update Date | 02/02/2024 |
Certification Date | 02/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356005706 | NPI | - | NPPES |
1083080592 | Other | NC | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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