| Louise Hudak Pllc | |
|
610 Lynndale Ct Ste D Greenville NC 27858-5400 | |
| (252) 624-3064 | |
| (508) 433-1871 |
| Full Name | Louise Hudak Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 610 Lynndale Ct Ste D, Greenville, North Carolina |
| Authorized Official Name and Position | Louise Hudak (OWNER) |
| Authorized Official Contact | 2526243064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Hudak Pllc 115 Cardinal Dr Greenville NC 27858-8909 Ph: (252) 714-4197 | Louise Hudak Pllc 610 Lynndale Ct Ste D Greenville NC 27858-5400 Ph: (252) 624-3064 |
| NPI Number | 1710593942 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Medicare PECOS PAC ID | 1052730207 |
|---|---|
| Medicare Enrollment ID | O20201007002638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710593942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Louise M Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568734259 PECOS PAC ID: 9234350885 Enrollment ID: I20141023000540 |
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