| Outreach Journey Counseling Pllc | |
|
402 Harris Ave Raeford NC 28376-3112 | |
| (954) 541-6880 | |
| Not Available |
| Full Name | Outreach Journey Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 402 Harris Ave, Raeford, North Carolina |
| Authorized Official Name and Position | Kris Anthony Barton (OWNER) |
| Authorized Official Contact | 9545416880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Journey Counseling Pllc 7878 Us Highway 74 W Rowland NC 28383-8913 Ph: (954) 541-6880 | Outreach Journey Counseling Pllc 402 Harris Ave Raeford NC 28376-3112 Ph: (954) 541-6880 |
| NPI Number | 1518480003 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 4486928173 |
|---|---|
| Medicare Enrollment ID | O20170919002596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518480003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C010931 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kris Anthony Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508246539 PECOS PAC ID: 5395019087 Enrollment ID: I20170920000230 |
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