Kisha Norman Professional Counseling Services Pllc | |
1841 Newlands Rd Columbia NC 27925-8035 | |
(252) 394-1381 | |
Not Available |
Full Name | Kisha Norman Professional Counseling Services Pllc |
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Speciality | Clinic/Center |
Location | 1841 Newlands Rd, Columbia, North Carolina |
Authorized Official Name and Position | Kisha Norman (OWN/CONSELOR) |
Authorized Official Contact | 2523941381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kisha Norman Professional Counseling Services Pllc Po Box 264 Columbia NC 27925-0264 Ph: (252) 394-1381 | Kisha Norman Professional Counseling Services Pllc 1841 Newlands Rd Columbia NC 27925-8035 Ph: (252) 394-1381 |
NPI Number | 1558022038 |
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Provider Enumeration Date | 01/06/2022 |
Last Update Date | 09/27/2023 |
Certification Date | 09/26/2023 |
Medicare PECOS PAC ID | 3375995624 |
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Medicare Enrollment ID | O20240123000527 |
Identifier | Type | State | Issuer |
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1558022038 | NPI | - | NPPES |
Provider Name | Kisha Danielle Norman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861066128 PECOS PAC ID: 5193177442 Enrollment ID: I20240123001025 |
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