Cold Water Counseling Pllc | |
300 N Terrace Pl Morganton NC 28655-3753 | |
(704) 765-2059 | |
Not Available |
Full Name | Cold Water Counseling Pllc |
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Speciality | Clinic/Center |
Location | 300 N Terrace Pl, Morganton, North Carolina |
Authorized Official Name and Position | David Kneen (OWNER) |
Authorized Official Contact | 7047652059 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cold Water Counseling Pllc 605 Saint Marys Church Rd Morganton NC 28655-9026 Ph: (704) 765-2059 | Cold Water Counseling Pllc 300 N Terrace Pl Morganton NC 28655-3753 Ph: (704) 765-2059 |
NPI Number | 1588443956 |
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Provider Enumeration Date | 09/26/2023 |
Last Update Date | 09/26/2023 |
Certification Date | 09/26/2023 |
Medicare PECOS PAC ID | 4183077191 |
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Medicare Enrollment ID | O20240125003976 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588443956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | David Kneen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992056956 PECOS PAC ID: 5092168005 Enrollment ID: I20240423002282 |
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