| Executive Wellness Pllc | |
|
152 Upper Brush Creek Rd Fletcher NC 28732-8476 | |
| (828) 222-0420 | |
| (828) 248-7722 |
| Full Name | Executive Wellness Pllc |
|---|---|
| Speciality | Counselor |
| Location | 152 Upper Brush Creek Rd, Fletcher, North Carolina |
| Authorized Official Name and Position | Michelle Kater (CEO) |
| Authorized Official Contact | 6035533301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Wellness Pllc 152 Upper Brush Creek Rd Fletcher NC 28732-8476 Ph: (828) 222-0420 | Executive Wellness Pllc 152 Upper Brush Creek Rd Fletcher NC 28732-8476 Ph: (828) 222-0420 |
| NPI Number | 1588378806 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 3476992751 |
|---|---|
| Medicare Enrollment ID | O20240419000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588378806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michelle Ann Kater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588127914 PECOS PAC ID: 4385083666 Enrollment ID: I20240419000232 |
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