Comfort Counseling Cafe' Corporation | |
1226 Bexton St Apt 205 Charlotte NC 28273-5076 | |
(704) 629-8885 | |
Not Available |
Full Name | Comfort Counseling Cafe' Corporation |
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Speciality | Social Worker |
Location | 1226 Bexton St Apt 205, Charlotte, North Carolina |
Authorized Official Name and Position | Raheem Forsythe (PRESIDENT) |
Authorized Official Contact | 7046298885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comfort Counseling Cafe' Corporation 1226 Bexton St Apt 205 Charlotte NC 28273-5076 Ph: (704) 629-8885 | Comfort Counseling Cafe' Corporation 1226 Bexton St Apt 205 Charlotte NC 28273-5076 Ph: (704) 629-8885 |
NPI Number | 1073229423 |
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Provider Enumeration Date | 01/30/2023 |
Last Update Date | 02/02/2023 |
Certification Date | 02/02/2023 |
Medicare PECOS PAC ID | 4587029327 |
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Medicare Enrollment ID | O20230428002659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073229423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Raheem Ta'shawn Forsythe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235741265 PECOS PAC ID: 5496110231 Enrollment ID: I20230428002718 |
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