| Footprints Counseling, Pllc | |
|
3410 Healy Dr Suite 200-a Winston Salem NC 27103-1403 | |
| (336) 893-8727 | |
| (336) 893-8726 |
| Full Name | Footprints Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3410 Healy Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Joseph Brian Alexander (OWNER) |
| Authorized Official Contact | 3368938727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Counseling, Pllc 3410 Healy Dr Suite 200-a Winston Salem NC 27103-1403 Ph: (336) 893-8727 | Footprints Counseling, Pllc 3410 Healy Dr Suite 200-a Winston Salem NC 27103-1403 Ph: (336) 893-8727 |
| NPI Number | 1578986717 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578986717 | NPI | - | NPPES |
| 6106255 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1184 (North Carolina) | Primary |
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