| Progress Perfectly Counseling, Pllc | |
|
5509b W Friendly Ave Ste 105 Greensboro NC 27410-4249 | |
| (336) 687-9826 | |
| Not Available |
| Full Name | Progress Perfectly Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5509b W Friendly Ave Ste 105, Greensboro, North Carolina |
| Authorized Official Name and Position | Stephanie Richardson (MEMBER/ORGANIZER) |
| Authorized Official Contact | 3366879826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Perfectly Counseling, Pllc 229 S Asheboro St Liberty NC 27298-7503 Ph: (727) 439-8276 | Progress Perfectly Counseling, Pllc 5509b W Friendly Ave Ste 105 Greensboro NC 27410-4249 Ph: (336) 687-9826 |
| NPI Number | 1487416962 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Medicare PECOS PAC ID | 9739529108 |
|---|---|
| Medicare Enrollment ID | O20240502000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487416962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457719148 PECOS PAC ID: 5698041424 Enrollment ID: I20240105000818 |
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