| Fresh Focus Counseling Llc | |
|
1240 Beaverton Trl Winston Salem NC 27103-5271 | |
| (954) 998-4209 | |
| Not Available |
| Full Name | Fresh Focus Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1240 Beaverton Trl, Winston Salem, North Carolina |
| Authorized Official Name and Position | Tori Montgomery (PROVIDER/OWNER) |
| Authorized Official Contact | 9549984209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Focus Counseling Llc 1240 Beaverton Trl Winston Salem NC 27103-5271 Ph: (954) 998-4209 | Fresh Focus Counseling Llc 1240 Beaverton Trl Winston Salem NC 27103-5271 Ph: (954) 998-4209 |
| NPI Number | 1164146551 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164146551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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