New Directions Tlc Llp | |
4140 Ferncreek Dr Suite 204 Fayetteville NC 28314-2563 | |
(910) 223-7700 | |
Not Available |
Full Name | New Directions Tlc Llp |
---|---|
Speciality | Social Worker - Clinical |
Location | 4140 Ferncreek Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Diana Mousseau (51 PARTNER) |
Authorized Official Contact | 9102237700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Directions Tlc Llp 4140 Ferncreek Dr Suite 204 Fayetteville NC 28314-2563 Ph: (910) 223-7700 | New Directions Tlc Llp 4140 Ferncreek Dr Suite 204 Fayetteville NC 28314-2563 Ph: (910) 223-7700 |
NPI Number | 1316996416 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316996416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C004783 (North Carolina) | Primary |
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