Kristin Nakhla, Therapist, Pllc | |
300 W Earp St Holly Springs NC 27540-8763 | |
(919) 753-5717 | |
Not Available |
Full Name | Kristin Nakhla, Therapist, Pllc |
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Speciality | Social Worker |
Location | 300 W Earp St, Holly Springs, North Carolina |
Authorized Official Name and Position | Kristin Lee Nakhla (OWNER, THERAPIST) |
Authorized Official Contact | 9197535717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristin Nakhla, Therapist, Pllc 104 Sunset Grove Dr Holly Springs NC 27540-6805 Ph: (919) 753-5717 | Kristin Nakhla, Therapist, Pllc 300 W Earp St Holly Springs NC 27540-8763 Ph: (919) 753-5717 |
NPI Number | 1760172498 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 05/08/2023 |
Certification Date | 05/08/2023 |
Medicare PECOS PAC ID | 2769829100 |
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Medicare Enrollment ID | O20240321001616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760172498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Provider Name | Kristin Nakhla |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205390994 PECOS PAC ID: 3678910015 Enrollment ID: I20240528001035 |
Provider Name | Beth Brown |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164154464 PECOS PAC ID: 2163964149 Enrollment ID: I20240605002316 |
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