| Santana Therapy & Counseling, Pllc | |
|
1788 Heritage Center Dr Wake Forest NC 27587-3948 | |
| (919) 399-9114 | |
| Not Available |
| Full Name | Santana Therapy & Counseling, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1788 Heritage Center Dr, Wake Forest, North Carolina |
| Authorized Official Name and Position | Evelyn Artemis Knez (CLINICAL THERAPIST) |
| Authorized Official Contact | 9192980166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santana Therapy & Counseling, Pllc 1788 Heritage Center Dr Wake Forest NC 27587-3948 Ph: (919) 399-9114 | Santana Therapy & Counseling, Pllc 1788 Heritage Center Dr Wake Forest NC 27587-3948 Ph: (919) 399-9114 |
| NPI Number | 1922648633 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 3870963580 |
|---|---|
| Medicare Enrollment ID | O20221221000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922648633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Evelyn A Knez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053755884 PECOS PAC ID: 2769746478 Enrollment ID: I20180504001357 |
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