| Comfort Counseling Cafe' Corporation | |
|
1226 Bexton St Apt 205 Charlotte NC 28273-5076 | |
| (704) 629-8885 | |
| Not Available |
| Full Name | Comfort Counseling Cafe' Corporation |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 4587029327 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235741265 PECOS PAC ID: 5496110231 Enrollment ID: I20230428002718 |
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