| Momentum Counseling Services, Pllc | |
|
8510 Six Forks Rd Suite 101 Raleigh NC 27615-3257 | |
| (919) 260-8229 | |
| (919) 590-1982 |
| Full Name | Momentum Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8510 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Holly Burgin (OWNER) |
| Authorized Official Contact | 9192608229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Counseling Services, Pllc 8510 Six Forks Rd Suite 101 Raleigh NC 27615-3257 Ph: (919) 260-8229 | Momentum Counseling Services, Pllc 8510 Six Forks Rd Suite 101 Raleigh NC 27615-3257 Ph: (919) 260-8229 |
| NPI Number | 1497115281 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 5294034955 |
|---|---|
| Medicare Enrollment ID | O20160502000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497115281 | NPI | - | NPPES |
| 1841699162 | Other | NC | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008604 (North Carolina) | Primary |
| Provider Name | Holly Elizabeth Burgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841699162 PECOS PAC ID: 6103125869 Enrollment ID: I20160502000550 |
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