| Dae Therapy | |
|
113 W Firetower Rd Suite G Winterville NC 28590-8377 | |
| (252) 758-1300 | |
| (252) 758-0015 |
| Full Name | Dae Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 113 W Firetower Rd, Winterville, North Carolina |
| Authorized Official Name and Position | Emmanuel Barnett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045912927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dae Therapy 113 West Fire Tower Rd. Suite G Winterville NC 28590-8377 Ph: (252) 758-1300 | Dae Therapy 113 W Firetower Rd Suite G Winterville NC 28590-8377 Ph: (252) 758-1300 |
| NPI Number | 1073797189 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073797189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1021 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 5318 (North Carolina) | Primary |
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