| Hedge Psychotherapy & Counseling | |
|
201 Providence Rd Chapel Hill NC 27514-2231 | |
| (919) 205-5175 | |
| (919) 214-9867 |
| Full Name | Hedge Psychotherapy & Counseling |
|---|---|
| Speciality | Counselor |
| Location | 201 Providence Rd, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Avery Edward Macierowski (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9192055175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hedge Psychotherapy & Counseling 201 Providence Rd Chapel Hill NC 27514-2231 Ph: (919) 205-5175 | Hedge Psychotherapy & Counseling 201 Providence Rd Chapel Hill NC 27514-2231 Ph: (919) 205-5175 |
| NPI Number | 1134994395 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4082057153 |
|---|---|
| Medicare Enrollment ID | O20240206000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134994395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Avery Edward Macierowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679155659 PECOS PAC ID: 6204272040 Enrollment ID: I20240314003084 |
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