| Nicole Bauer Counseling Pllc | |
|
1500 E Ash St Goldsboro NC 27530-5204 | |
| (919) 617-7478 | |
| Not Available |
| Full Name | Nicole Bauer Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1500 E Ash St, Goldsboro, North Carolina |
| Authorized Official Name and Position | Destiny Nicole Bauer (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9197635258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bauer Counseling Pllc 1500 E Ash St Goldsboro NC 27530-5204 Ph: (919) 617-7478 | Nicole Bauer Counseling Pllc 1500 E Ash St Goldsboro NC 27530-5204 Ph: (919) 617-7478 |
| NPI Number | 1538628490 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 9830531086 |
|---|---|
| Medicare Enrollment ID | O20240520003821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538628490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Destiny Nicole Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396283669 PECOS PAC ID: 1658713805 Enrollment ID: I20240520003850 |
| Provider Name | Stacia Marie Harlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932693876 PECOS PAC ID: 2567804719 Enrollment ID: I20240520003934 |
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