Inner Pathways Llc | |
351 Wagoner Dr Ste 350 Fayetteville NC 28303-4688 | |
(910) 644-4584 | |
(910) 321-8563 |
Full Name | Inner Pathways Llc |
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Speciality | Marriage & Family Therapist |
Location | 351 Wagoner Dr Ste 350, Fayetteville, North Carolina |
Authorized Official Name and Position | Emanuel Rodriguez (CEO) |
Authorized Official Contact | 9106444584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Pathways Llc 717 Thrush Dr Vass NC 28394-8653 Ph: (252) 202-3192 | Inner Pathways Llc 351 Wagoner Dr Ste 350 Fayetteville NC 28303-4688 Ph: (910) 644-4584 |
NPI Number | 1396113775 |
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Provider Enumeration Date | 09/02/2015 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396113775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1579 (North Carolina) | Primary |
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