| Rhema Counseling & Support Services, Pc | |
|
5317 Highgate Dr Suite 214 Durham NC 27713-6622 | |
| (919) 544-1300 | |
| (919) 544-1331 |
| Full Name | Rhema Counseling & Support Services, Pc |
|---|---|
| Speciality | Counselor |
| Location | 5317 Highgate Dr, Durham, North Carolina |
| Authorized Official Name and Position | Janice L Bryant (CEO) |
| Authorized Official Contact | 9195441300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhema Counseling & Support Services, Pc 5317 Highgate Dr Suite 214 Durham NC 27713-6622 Ph: (919) 544-1300 | Rhema Counseling & Support Services, Pc 5317 Highgate Dr Suite 214 Durham NC 27713-6622 Ph: (919) 544-1300 |
| NPI Number | 1639401268 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 3678868791 |
|---|---|
| Medicare Enrollment ID | O20160829000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639401268 | NPI | - | NPPES |
| 6006982 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1884 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 7306 (North Carolina) | Primary |
| Provider Name | Vincent J Cella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235775545 PECOS PAC ID: 4183052335 Enrollment ID: I20200321000334 |
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