Clearwater Counseling And Consulting Pllc | |
18139 W Catawba Ave Ste 2 Cornelius NC 28031-5641 | |
(704) 966-9277 | |
(980) 217-8402 |
Full Name | Clearwater Counseling And Consulting Pllc |
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Speciality | Social Worker |
Location | 18139 W Catawba Ave Ste 2, Cornelius, North Carolina |
Authorized Official Name and Position | Elizabeth W Kovacs (OWNER) |
Authorized Official Contact | 7049669277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clearwater Counseling And Consulting Pllc Po Box 435 Davidson NC 28036-0435 Ph: (704) 966-9277 | Clearwater Counseling And Consulting Pllc 18139 W Catawba Ave Ste 2 Cornelius NC 28031-5641 Ph: (704) 966-9277 |
NPI Number | 1316588601 |
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Provider Enumeration Date | 10/08/2019 |
Last Update Date | 10/08/2019 |
Medicare PECOS PAC ID | 6103258025 |
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Medicare Enrollment ID | O20191114003058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316588601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth W Kovacs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356672851 PECOS PAC ID: 8022251636 Enrollment ID: I20130829000817 |
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