Heather Tippens Counseling, Pllc | |
160 Westchester Cir Pinehurst NC 28374-9525 | |
(910) 773-0375 | |
Not Available |
Full Name | Heather Tippens Counseling, Pllc |
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Speciality | Clinic/Center |
Location | 160 Westchester Cir, Pinehurst, North Carolina |
Authorized Official Name and Position | Heather Tippens (CLINICAL COUNSELOR) |
Authorized Official Contact | 9107730375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heather Tippens Counseling, Pllc Po Box 4222 Pinehurst NC 28374-4222 Ph: (910) 773-0375 | Heather Tippens Counseling, Pllc 160 Westchester Cir Pinehurst NC 28374-9525 Ph: (910) 773-0375 |
NPI Number | 1679031033 |
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Provider Enumeration Date | 03/05/2019 |
Last Update Date | 12/11/2022 |
Certification Date | 12/11/2022 |
Medicare PECOS PAC ID | 1355790320 |
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Medicare Enrollment ID | O20231215002156 |
Identifier | Type | State | Issuer |
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1679031033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Heather M Tippens |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912231150 PECOS PAC ID: 2264881234 Enrollment ID: I20231215002277 |
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