| Pivotal Breakthrough Counseling Services, Pllc | |
|
604 E Front St # 1555 Clayton NC 27520-2058 | |
| (919) 418-1613 | |
| Not Available |
| Full Name | Pivotal Breakthrough Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 604 E Front St # 1555, Clayton, North Carolina |
| Authorized Official Name and Position | Shanice Stephenson (MENTAL HEALTH/SUBSTANCE USE COUNSEL) |
| Authorized Official Contact | 9194181613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Breakthrough Counseling Services, Pllc Po Box 1555 Clayton NC 27528-1555 Ph: (919) 418-1613 | Pivotal Breakthrough Counseling Services, Pllc 604 E Front St # 1555 Clayton NC 27520-2058 Ph: (919) 418-1613 |
| NPI Number | 1447867999 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447867999 | NPI | - | NPPES |
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