| Bull City Counseling, Pllc | |
|
3622 Lyckan Pkwy Ste 4008 Durham NC 27707-2539 | |
| (919) 213-0225 | |
| Not Available |
| Full Name | Bull City Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3622 Lyckan Pkwy Ste 4008, Durham, North Carolina |
| Authorized Official Name and Position | Stephanie English (OWNER) |
| Authorized Official Contact | 9192130225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bull City Counseling, Pllc 3622 Lyckan Pkwy Ste 4008 Durham NC 27707-2539 Ph: () - | Bull City Counseling, Pllc 3622 Lyckan Pkwy Ste 4008 Durham NC 27707-2539 Ph: (919) 213-0225 |
| NPI Number | 1497130967 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 6507292877 |
|---|---|
| Medicare Enrollment ID | O20200204002713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497130967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Stephanie English |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073934147 PECOS PAC ID: 3577864834 Enrollment ID: I20200204002871 |
| Provider Name | Jennifer Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124247275 PECOS PAC ID: 3678909868 Enrollment ID: I20201222001346 |
| Provider Name | Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770192270 PECOS PAC ID: 6507211026 Enrollment ID: I20231018001207 |
| Provider Name | Laura Lindsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528840352 PECOS PAC ID: 9739525007 Enrollment ID: I20240308001182 |
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