| House Of Support Counseling Services, Pllc | |
|
107 Se Main St, Ste. 317 Roanoke Rapids NC 27870-4957 | |
| (919) 200-5217 | |
| (252) 650-2214 |
| Full Name | House Of Support Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 107 Se Main St,, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Keith Poche (CEO/CLINICIAN) |
| Authorized Official Contact | 9192005217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Support Counseling Services, Pllc 200 Summitt Ave Roanoke Rapids NC 27870-5026 Ph: (919) 200-5217 | House Of Support Counseling Services, Pllc 107 Se Main St, Ste. 317 Roanoke Rapids NC 27870-4957 Ph: (919) 200-5217 |
| NPI Number | 1215590112 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215590112 | NPI | - | NPPES |
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