| Firefly Behavioral Services, Pllc | |
|
501 Harrier Ct Durham NC 27713-7322 | |
| (919) 358-1200 | |
| Not Available |
| Full Name | Firefly Behavioral Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 501 Harrier Ct, Durham, North Carolina |
| Authorized Official Name and Position | Deanna Boothe (OWNER) |
| Authorized Official Contact | 9193581200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firefly Behavioral Services, Pllc 1037 Spacious Skies Ln Durham NC 27703-9860 Ph: (919) 358-1200 | Firefly Behavioral Services, Pllc 501 Harrier Ct Durham NC 27713-7322 Ph: (919) 358-1200 |
| NPI Number | 1851031405 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 2264890862 |
|---|---|
| Medicare Enrollment ID | O20230613003816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851031405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sondra Huffman Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366747412 PECOS PAC ID: 6002097011 Enrollment ID: I20110224000212 |
| Provider Name | Mark R Stroeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083763528 PECOS PAC ID: 5294918801 Enrollment ID: I20110318000755 |
| Provider Name | Joanna Desupinski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598013591 PECOS PAC ID: 6103129218 Enrollment ID: I20160125000554 |
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