| Living Beyond It Counseling And Consultation Services, Pllc | |
|
201 S Brightleaf Blvd Ste 6 Smithfield NC 27577-4077 | |
| (919) 631-4831 | |
| (919) 400-4602 |
| Full Name | Living Beyond It Counseling And Consultation Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 201 S Brightleaf Blvd Ste 6, Smithfield, North Carolina |
| Authorized Official Name and Position | Renee Watson Adams (OWNER) |
| Authorized Official Contact | 9196314831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Beyond It Counseling And Consultation Services, Pllc 212 Brookside Dr Smithfield NC 27577-3054 Ph: (919) 631-4831 | Living Beyond It Counseling And Consultation Services, Pllc 201 S Brightleaf Blvd Ste 6 Smithfield NC 27577-4077 Ph: (919) 631-4831 |
| NPI Number | 1467075432 |
|---|---|
| Provider Enumeration Date | 05/25/2020 |
| Last Update Date | 05/25/2020 |
| Certification Date | 05/25/2020 |
| Medicare PECOS PAC ID | 4385188820 |
|---|---|
| Medicare Enrollment ID | O20240626000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467075432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Renee Watson Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104248491 PECOS PAC ID: 2466867726 Enrollment ID: I20240626000536 |
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