| Center For Healing And Wellness Pc | |
|
1025 E Wendover Ave Suite B & C Greensboro NC 27405-6775 | |
| (919) 260-0955 | |
| (336) 218-6361 |
| Full Name | Center For Healing And Wellness Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1025 E Wendover Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Lutricia B Callair (OWNER) |
| Authorized Official Contact | 9192600955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healing And Wellness Pc 1025 E Wendover Ave Suite B & C Greensboro NC 27405-6775 Ph: (919) 260-0955 | Center For Healing And Wellness Pc 1025 E Wendover Ave Suite B & C Greensboro NC 27405-6775 Ph: (919) 260-0955 |
| NPI Number | 1497175244 |
|---|---|
| Provider Enumeration Date | 04/20/2014 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 1759507908 |
|---|---|
| Medicare Enrollment ID | O20140723001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497175244 | NPI | - | NPPES |
| 6002930 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C000908 (North Carolina) | Primary |
| Provider Name | Lutricia B Callair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235256793 PECOS PAC ID: 0143246249 Enrollment ID: I20051018000953 |
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