Integral Counseling Services, Pllc | |
1920 Western Trl Chapel Hill NC 27516-5005 | |
(919) 304-5754 | |
Not Available |
Full Name | Integral Counseling Services, Pllc |
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Speciality | Counselor |
Location | 1920 Western Trl, Chapel Hill, North Carolina |
Authorized Official Name and Position | Miriam Lieberman (OWNER AND CLINICIAN) |
Authorized Official Contact | 9193045754 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integral Counseling Services, Pllc 1920 Western Trl Chapel Hill NC 27516-5005 Ph: (919) 304-5754 | Integral Counseling Services, Pllc 1920 Western Trl Chapel Hill NC 27516-5005 Ph: (919) 304-5754 |
NPI Number | 1740617695 |
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Provider Enumeration Date | 10/07/2013 |
Last Update Date | 10/07/2013 |
Medicare PECOS PAC ID | 0042654501 |
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Medicare Enrollment ID | O20240223000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740617695 | NPI | - | NPPES |
6102891 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | S3203 (North Carolina) | Primary |
Provider Name | Miriam E. Lieberman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124072061 PECOS PAC ID: 1951745413 Enrollment ID: I20240223000270 |
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