| Kim Mason, Pllc | |
|
293 Olmsted Blvd Ste 11b-9 Pinehurst NC 28374-9181 | |
| (910) 690-3697 | |
| Not Available |
| Full Name | Kim Mason, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 293 Olmsted Blvd Ste 11b-9, Pinehurst, North Carolina |
| Authorized Official Name and Position | Kimberly Sue Mason (OWNER) |
| Authorized Official Contact | 9106903697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Mason, Pllc 293 Olmsted Blvd Ste 11b-9 Pinehurst NC 28374-9181 Ph: (910) 690-3697 | Kim Mason, Pllc 293 Olmsted Blvd Ste 11b-9 Pinehurst NC 28374-9181 Ph: (910) 690-3697 |
| NPI Number | 1295599843 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Medicare PECOS PAC ID | 8921443250 |
|---|---|
| Medicare Enrollment ID | O20240227001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295599843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Sue Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922446491 PECOS PAC ID: 9830534163 Enrollment ID: I20240227001522 |
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