| Rogers' Counseling Services Pllc | |
|
4205 Wake Forest Rd Ste 101d Raleigh NC 27609-6246 | |
| (919) 446-5504 | |
| Not Available |
| Full Name | Rogers' Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4205 Wake Forest Rd Ste 101d, Raleigh, North Carolina |
| Authorized Official Name and Position | Tiffany Rogers (OWNER) |
| Authorized Official Contact | 9195864694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers' Counseling Services Pllc 16 Badger Pass Dr Clayton NC 27527-9533 Ph: () - | Rogers' Counseling Services Pllc 4205 Wake Forest Rd Ste 101d Raleigh NC 27609-6246 Ph: (919) 446-5504 |
| NPI Number | 1124661780 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 0345686192 |
|---|---|
| Medicare Enrollment ID | O20240314003048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124661780 | 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 | Tiffany Shanette Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316345242 PECOS PAC ID: 1254777006 Enrollment ID: I20240314003120 |
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