| Miracles Supportive Services | |
|
1305 W Howard Ave Tarboro NC 27886-4119 | |
| (252) 827-7577 | |
| Not Available |
| Full Name | Miracles Supportive Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1305 W Howard Ave, Tarboro, North Carolina |
| Authorized Official Name and Position | Anniscia Monique Sherrod (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2528277577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles Supportive Services 1305 W Howard Ave Tarboro NC 27886-4119 Ph: (252) 827-7577 | Miracles Supportive Services 1305 W Howard Ave Tarboro NC 27886-4119 Ph: (252) 827-7577 |
| NPI Number | 1790092211 |
|---|---|
| Provider Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790092211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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