Center For Loss, Grief, Hope & Healing, Pllc | |
219 S East St Raleigh NC 27601-2369 | |
(919) 816-2245 | |
(919) 981-9425 |
Full Name | Center For Loss, Grief, Hope & Healing, Pllc |
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Speciality | Counselor |
Location | 219 S East St, Raleigh, North Carolina |
Authorized Official Name and Position | Nola M Simpson (OWNER) |
Authorized Official Contact | 8082505129 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Loss, Grief, Hope & Healing, Pllc 219 S East St Raleigh NC 27601-2369 Ph: (919) 816-2245 | Center For Loss, Grief, Hope & Healing, Pllc 219 S East St Raleigh NC 27601-2369 Ph: (919) 816-2245 |
NPI Number | 1609581628 |
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Provider Enumeration Date | 01/16/2023 |
Last Update Date | 11/03/2023 |
Certification Date | 11/03/2023 |
Medicare PECOS PAC ID | 8820432123 |
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Medicare Enrollment ID | O20240214002755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609581628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Nola Metz Simpson |
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Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1740897099 PECOS PAC ID: 1759535610 Enrollment ID: I20240214002918 |
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