| Breathe Wellness Counseling Pllc | |
|
88 S Main St Granite Falls NC 28630-1934 | |
| (828) 523-8181 | |
| (828) 523-8182 |
| Full Name | Breathe Wellness Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 88 S Main St, Granite Falls, North Carolina |
| Authorized Official Name and Position | Michelle Stroebel (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 8285238181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Wellness Counseling Pllc 88 S Main St Granite Falls NC 28630-1934 Ph: (828) 523-8181 | Breathe Wellness Counseling Pllc 88 S Main St Granite Falls NC 28630-1934 Ph: (828) 523-8181 |
| NPI Number | 1962025676 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 0941690770 |
|---|---|
| Medicare Enrollment ID | O20211209000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962025676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Teresa S Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831239276 PECOS PAC ID: 6709032469 Enrollment ID: I20120813000043 |
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