| Fostering Real Change Counseling Services, Inc. | |
|
220 3rd Ave W Suite A Hendersonville NC 28739-4330 | |
| (828) 376-0000 | |
| (828) 376-0000 |
| Full Name | Fostering Real Change Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 220 3rd Ave W, Hendersonville, North Carolina |
| Authorized Official Name and Position | Dayle Benedetti (PRESIDENT) |
| Authorized Official Contact | 8283760000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fostering Real Change Counseling Services, Inc. Po Box 1426 Hendersonville NC 28793-1426 Ph: (828) 376-0000 | Fostering Real Change Counseling Services, Inc. 220 3rd Ave W Suite A Hendersonville NC 28739-4330 Ph: (828) 376-0000 |
| NPI Number | 1467747030 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467747030 | NPI | - | NPPES |
| 6104476 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7302 (North Carolina) | Primary |
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