Seaside Clinical Counseling Pllc | |
714 W Corbett Ave Swansboro NC 28584-8438 | |
(252) 563-8084 | |
(888) 690-3482 |
Full Name | Seaside Clinical Counseling Pllc |
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Speciality | Social Worker |
Location | 714 W Corbett Ave, Swansboro, North Carolina |
Authorized Official Name and Position | Cynthia M Thomas (OWNER/MANAGER) |
Authorized Official Contact | 2525638084 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Seaside Clinical Counseling Pllc 637 White Oak Xing Swansboro NC 28584-8479 Ph: (252) 241-8266 | Seaside Clinical Counseling Pllc 714 W Corbett Ave Swansboro NC 28584-8438 Ph: (252) 563-8084 |
NPI Number | 1972373082 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 8325484371 |
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Medicare Enrollment ID | O20240312003758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972373082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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