| Presbyterian Counseling Center Of Greensboro, Inc | |
|
3713 Richfield Rd Greensboro NC 27410-2111 | |
| (336) 288-1484 | |
| (336) 288-0738 |
| Full Name | Presbyterian Counseling Center Of Greensboro, Inc |
|---|---|
| Speciality | Counselor |
| Location | 3713 Richfield Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Pamela H Tucker (FINANCIAL BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3362881484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presbyterian Counseling Center Of Greensboro, Inc 3713 Richfield Rd Greensboro NC 27410-2111 Ph: (336) 288-1484 | Presbyterian Counseling Center Of Greensboro, Inc 3713 Richfield Rd Greensboro NC 27410-2111 Ph: (336) 288-1484 |
| NPI Number | 1831138296 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 7911979331 |
|---|---|
| Medicare Enrollment ID | O20040806000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831138296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Masoud Hejazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932156056 PECOS PAC ID: 3173508546 Enrollment ID: I20040621000649 |
| Provider Name | Robyn R Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841239589 PECOS PAC ID: 6002894417 Enrollment ID: I20040712001208 |
| Provider Name | Susan A Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013082288 PECOS PAC ID: 2365595212 Enrollment ID: I20090724000716 |
| Provider Name | David L Nickelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619081486 PECOS PAC ID: 5991837015 Enrollment ID: I20100724000062 |
| Provider Name | Ann E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811208796 PECOS PAC ID: 7315139391 Enrollment ID: I20101008000581 |
| Provider Name | Rachel Christina Reiland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316194798 PECOS PAC ID: 9234457623 Enrollment ID: I20150415001058 |
| Provider Name | Valerie Nmn Lavoie |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639583099 PECOS PAC ID: 2567765183 Enrollment ID: I20160114001400 |
| Provider Name | Valerie Nmn Lavoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583099 PECOS PAC ID: 2567765183 Enrollment ID: I20160114002095 |
| Provider Name | Paula B Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942672555 PECOS PAC ID: 9436418233 Enrollment ID: I20180124003166 |
| Provider Name | Kayla Jane Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396129276 PECOS PAC ID: 1052671369 Enrollment ID: I20180207000047 |
| Provider Name | Lynn Zenner Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396339172 PECOS PAC ID: 6406262955 Enrollment ID: I20210308000984 |
| Provider Name | Larae Burton Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568851293 PECOS PAC ID: 3577979756 Enrollment ID: I20210312001746 |
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