| Desired Changes, Pllc | |
|
10239 Beach Dr Sw Ste 21 Calabash NC 28467-2703 | |
| (910) 377-1794 | |
| Not Available |
| Full Name | Desired Changes, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10239 Beach Dr Sw Ste 21, Calabash, North Carolina |
| Authorized Official Name and Position | Heather Rubino (THERAPIST) |
| Authorized Official Contact | 9103771794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desired Changes, Pllc Po Box 6741 Ocean Isle Beach NC 28469-0741 Ph: () - | Desired Changes, Pllc 10239 Beach Dr Sw Ste 21 Calabash NC 28467-2703 Ph: (910) 377-1794 |
| NPI Number | 1306625884 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 8123562642 |
|---|---|
| Medicare Enrollment ID | O20240626000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306625884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather Marie Rubino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114589504 PECOS PAC ID: 2860887585 Enrollment ID: I20220316001226 |
Starling Therapy And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9970 Beach Dr, Calabash, NC 28467 Phone: 910-471-5750 | |
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