| .community Counseling Services, Pc. | |
|
737 Durham Rd Roxboro NC 27573-5607 | |
| (336) 512-0702 | |
| (336) 330-0703 |
| Full Name | .community Counseling Services, Pc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 737 Durham Rd, Roxboro, North Carolina |
| Authorized Official Name and Position | Sarah M Taylor (DIRECTOR) |
| Authorized Official Contact | 3365120702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| .community Counseling Services, Pc. 515 Fire Tower Dr Rougemont NC 27572-6816 Ph: (336) 512-0702 | .community Counseling Services, Pc. 737 Durham Rd Roxboro NC 27573-5607 Ph: (336) 512-0702 |
| NPI Number | 1922311554 |
|---|---|
| Provider Enumeration Date | 07/25/2010 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 8426234188 |
|---|---|
| Medicare Enrollment ID | O20110512000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922311554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| Provider Name | Sarah M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821230350 PECOS PAC ID: 5799961454 Enrollment ID: I20110512000828 |
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