| Lutheran Family Services Actt | |
|
101 Conner Dr Suite 302 Chapel Hill NC 27514-7038 | |
| (919) 968-2552 | |
| (919) 968-4303 |
| Full Name | Lutheran Family Services Actt |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Conner Dr, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Jeffrey Demagistris (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9199682552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Family Services Actt 101 Conner Dr Suite 302 Chapel Hill NC 27514-7038 Ph: (919) 968-2552 | Lutheran Family Services Actt 101 Conner Dr Suite 302 Chapel Hill NC 27514-7038 Ph: (919) 968-2552 |
| NPI Number | 1598848590 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598848590 | NPI | - | NPPES |
| 8300820A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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