| Respira Counseling Services | |
|
2515 Watson Ave Ste 111 Sanford NC 27332-6173 | |
| (919) 307-1847 | |
| Not Available |
| Full Name | Respira Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 2515 Watson Ave Ste 111, Sanford, North Carolina |
| Authorized Official Name and Position | Diana Carolina Marroquin Jimenez (OWNER/ THERAPIST) |
| Authorized Official Contact | 2525899936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Respira Counseling Services 2515 Watson Ave Ste 111 Sanford NC 27332-6173 Ph: () - | Respira Counseling Services 2515 Watson Ave Ste 111 Sanford NC 27332-6173 Ph: (919) 307-1847 |
| NPI Number | 1760194898 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 03/04/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 6103263090 |
|---|---|
| Medicare Enrollment ID | O20240327003158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760194898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Diana Carolina Marroquin Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114374535 PECOS PAC ID: 7911344809 Enrollment ID: I20240327003303 |
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