| Butterfly Wishes Therapy Pllc | |
|
1106 Lee Landing Rd New Bern NC 28560-5801 | |
| (252) 229-9665 | |
| (252) 649-2446 |
| Full Name | Butterfly Wishes Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1106 Lee Landing Rd, New Bern, North Carolina |
| Authorized Official Name and Position | Stacy Connor (OWNER) |
| Authorized Official Contact | 2522299665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butterfly Wishes Therapy Pllc Po Box 133 Grantsboro NC 28529-0133 Ph: () - | Butterfly Wishes Therapy Pllc 1106 Lee Landing Rd New Bern NC 28560-5801 Ph: (252) 229-9665 |
| NPI Number | 1528847548 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 1557705878 |
|---|---|
| Medicare Enrollment ID | O20240214003477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528847548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacy T Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043690670 PECOS PAC ID: 0143641845 Enrollment ID: I20200604002809 |
| Provider Name | Rachelle Heller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013569359 PECOS PAC ID: 9638514821 Enrollment ID: I20240227003811 |
| Provider Name | Yasheka Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770150138 PECOS PAC ID: 6305281320 Enrollment ID: I20240229003048 |
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