| Carolina Counseling And Consulting Services, Pllc | |
|
10105 Hickorywood Hill Ave Suite B Huntsville NC 28078 | |
| (704) 266-4208 | |
| (866) 876-6809 |
| Full Name | Carolina Counseling And Consulting Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 10105 Hickorywood Hill Ave, Huntsville, North Carolina |
| Authorized Official Name and Position | Jennifer Elizabeth Keever (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 7042664208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Counseling And Consulting Services, Pllc 531 Brentwood Road # 308 Denver NC 28037-0269 Ph: (704) 266-4208 | Carolina Counseling And Consulting Services, Pllc 10105 Hickorywood Hill Ave Suite B Huntsville NC 28078 Ph: (704) 266-4208 |
| NPI Number | 1639616782 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 3274942701 |
|---|---|
| Medicare Enrollment ID | O20210512002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639616782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11085 (North Carolina) | Primary |
| Provider Name | Danielle H Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629353610 PECOS PAC ID: 6002138419 Enrollment ID: I20141212001986 |
| Provider Name | Lori Ann Hinnant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902129265 PECOS PAC ID: 3375996663 Enrollment ID: I20240219000010 |
| Provider Name | Naiyana Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326504531 PECOS PAC ID: 9830534007 Enrollment ID: I20240227003247 |
| Provider Name | Monica Bowen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699213090 PECOS PAC ID: 2567807282 Enrollment ID: I20240304001655 |
| Provider Name | Lisa Christine Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619370772 PECOS PAC ID: 8628487154 Enrollment ID: I20240315000486 |
| Provider Name | Jennifer Kline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558020545 PECOS PAC ID: 2860845104 Enrollment ID: I20240409000152 |
| Provider Name | Justin Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780299073 PECOS PAC ID: 7113369166 Enrollment ID: I20240522003751 |