| Healing Selves Therapeutics, Pllc | |
|
1404 Raeford Rd Fayetteville NC 28305-5028 | |
| (336) 324-8934 | |
| Not Available |
| Full Name | Healing Selves Therapeutics, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1404 Raeford Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Heather Michelle Scarboro (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3363248934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Selves Therapeutics, Pllc Po Box 58581 Fayetteville NC 28305-8581 Ph: (336) 324-8934 | Healing Selves Therapeutics, Pllc 1404 Raeford Rd Fayetteville NC 28305-5028 Ph: (336) 324-8934 |
| NPI Number | 1598340598 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Medicare PECOS PAC ID | 1254784572 |
|---|---|
| Medicare Enrollment ID | O20240201004193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598340598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heather Michelle Scarboro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255734851 PECOS PAC ID: 4981057205 Enrollment ID: I20240201004250 |
| Provider Name | Monica Zozone Osburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477604007 PECOS PAC ID: 4284077363 Enrollment ID: I20240206000843 |
| Provider Name | Kelly Lynn Caniglia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053744193 PECOS PAC ID: 4284077926 Enrollment ID: I20240208004668 |
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