| Healing Reflections, Pllc | |
|
350 Shaw Ave Southern Pines NC 28387-6237 | |
| (910) 580-8280 | |
| (910) 304-5633 |
| Full Name | Healing Reflections, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 350 Shaw Ave, Southern Pines, North Carolina |
| Authorized Official Name and Position | Jessica Grider (LCSW) |
| Authorized Official Contact | 9105808280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Reflections, Pllc 350 Shaw Ave Southern Pines NC 28387-6237 Ph: (910) 580-8280 | Healing Reflections, Pllc 350 Shaw Ave Southern Pines NC 28387-6237 Ph: (910) 580-8280 |
| NPI Number | 1104496678 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 7315335742 |
|---|---|
| Medicare Enrollment ID | O20211103002830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104496678 | NPI | - | NPPES |
| M148 | Other | NC | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Gail Grider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558886366 PECOS PAC ID: 7214356856 Enrollment ID: I20200930002240 |
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