| Greater Vision Counseling & Consulting Agency Pllc | |
|
402 Harris Ave Raeford NC 28376-3112 | |
| (910) 336-3554 | |
| (910) 875-5008 |
| Full Name | Greater Vision Counseling & Consulting Agency Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 402 Harris Ave, Raeford, North Carolina |
| Authorized Official Name and Position | Luevelyn Jacobs Tillman (OWNER) |
| Authorized Official Contact | 9103363554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Vision Counseling & Consulting Agency Pllc 199 Pine Tree Ln Raeford NC 28376-2430 Ph: (910) 336-3554 | Greater Vision Counseling & Consulting Agency Pllc 402 Harris Ave Raeford NC 28376-3112 Ph: (910) 336-3554 |
| NPI Number | 1336661826 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 04/27/2019 |
| Medicare PECOS PAC ID | 5698049476 |
|---|---|
| Medicare Enrollment ID | O20170918000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336661826 | NPI | - | NPPES |
| Provider Name | Lu Evelyn Jacobs Tillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972984888 PECOS PAC ID: 6507130382 Enrollment ID: I20170918001127 |
| Provider Name | Teresa K Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679978159 PECOS PAC ID: 0941538250 Enrollment ID: I20190824000453 |
| Provider Name | Rebecca Lyman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649876673 PECOS PAC ID: 3173971710 Enrollment ID: I20231121001195 |
| Provider Name | Katie G Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700494440 PECOS PAC ID: 7810335965 Enrollment ID: I20240409001205 |
| Provider Name | Nicole M Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235751108 PECOS PAC ID: 7012356744 Enrollment ID: I20240415002055 |
| Provider Name | Lashawnta A Mclean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548659741 PECOS PAC ID: 1951740604 Enrollment ID: I20240415002866 |
| Provider Name | Tonia J Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437732955 PECOS PAC ID: 6507207289 Enrollment ID: I20240513001235 |
| Provider Name | Colleen R Merkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760144802 PECOS PAC ID: 7416399670 Enrollment ID: I20240521000087 |
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