| Lita W. Russell, Ph.d., Pllc | |
|
141 Providence Rd Ste 100 Chapel Hill NC 27514-6219 | |
| (919) 601-7985 | |
| Not Available |
| Full Name | Lita W. Russell, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 141 Providence Rd Ste 100, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Lita W Russell (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9193606867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lita W. Russell, Ph.d., Pllc 141 Providence Rd Ste 100 Chapel Hill NC 27514-6219 Ph: () - | Lita W. Russell, Ph.d., Pllc 141 Providence Rd Ste 100 Chapel Hill NC 27514-6219 Ph: (919) 601-7985 |
| NPI Number | 1467161422 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 0244600567 |
|---|---|
| Medicare Enrollment ID | O20240215004255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467161422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Lita Wilson Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235276072 PECOS PAC ID: 3870897911 Enrollment ID: I20181212002990 |
Cohesive Pathways, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 141 Providence Rd Ste 100, Chapel Hill, NC 27514 Phone: 919-636-5982 | |
Freedom House Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 New Stateside Dr, Chapel Hill, NC 27516 Phone: 919-942-2803 Fax: 919-942-2126 | |
Unc Mental Health Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Conner Dr, Suite 4, Chapel Hill, NC 27514 Phone: 919-843-7449 | |
Darryl F. Smith, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Cloister Ct, Suite 100, Chapel Hill, NC 27514 Phone: 919-402-4300 Fax: 919-420-4330 | |
Cpfs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cloister Ct, Suite E, Chapel Hill, NC 27514 Phone: 919-408-3212 | |
Rachel Carroll, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1818 Mlk Blvd # 105, Chapel Hill, NC 27514 Phone: 919-614-9791 | |
Unc Horizons Clinic In Chapel Hill Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Manning Dr, Women's Hospital Obgyn Clinic C, Chapel Hill, NC 27514 Phone: 919-966-9803 Fax: 919-966-9169 |