| Resource Therapy, Pllc | |
|
51 Montford Dr Garner NC 27529-6878 | |
| (706) 455-6866 | |
| Not Available |
| Full Name | Resource Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 51 Montford Dr, Garner, North Carolina |
| Authorized Official Name and Position | Kerry M Dowd (OWNER) |
| Authorized Official Contact | 7064556866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resource Therapy, Pllc 51 Montford Dr Garner NC 27529-6878 Ph: (706) 455-6866 | Resource Therapy, Pllc 51 Montford Dr Garner NC 27529-6878 Ph: (706) 455-6866 |
| NPI Number | 1497462436 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 8123497310 |
|---|---|
| Medicare Enrollment ID | O20221209002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497462436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kerry M Dowd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205452448 PECOS PAC ID: 4789088485 Enrollment ID: I20210803001046 |
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