No Stigma, Pllc | |
3410 Healy Dr Ste 201c Winston Salem NC 27103-1568 | |
(336) 682-0385 | |
Not Available |
Full Name | No Stigma, Pllc |
---|---|
Speciality | Counselor |
Location | 3410 Healy Dr Ste 201c, Winston Salem, North Carolina |
Authorized Official Name and Position | Tiffany D Hall (OWNER) |
Authorized Official Contact | 3366820385 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
No Stigma, Pllc 3410 Healy Dr Ste 201f Winston Salem NC 27103-1568 Ph: (336) 682-0385 | No Stigma, Pllc 3410 Healy Dr Ste 201c Winston Salem NC 27103-1568 Ph: (336) 682-0385 |
NPI Number | 1629609722 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Medicare PECOS PAC ID | 0042641797 |
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Medicare Enrollment ID | O20200512003411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629609722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Tiffany D Hall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093090748 PECOS PAC ID: 9739310251 Enrollment ID: I20140326002347 |
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