| Penwell Counseling Services, Pllc | |
|
1903 N. Harrison Ave Suite 200 #1040 Cary NC 27513 | |
| (919) 319-1163 | |
| Not Available |
| Full Name | Penwell Counseling Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1903 N. Harrison Ave, Cary, North Carolina |
| Authorized Official Name and Position | Melissa Marie Penwell (OWNER) |
| Authorized Official Contact | 9193191163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penwell Counseling Services, Pllc 1140 Kildaire Farm Rd Ste 200, Rm 4 Cary NC 27511-4597 Ph: (919) 319-1163 | Penwell Counseling Services, Pllc 1903 N. Harrison Ave Suite 200 #1040 Cary NC 27513 Ph: (919) 319-1163 |
| NPI Number | 1669711701 |
|---|---|
| Provider Enumeration Date | 02/09/2013 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669711701 | NPI | - | NPPES |
| 6104653 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8358 (North Carolina) | Primary |
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