| Seaside Counseling Services, Pllc | |
|
1328 Lake Park Blvd N Suite 109 Carolina Beach NC 28428-3935 | |
| (910) 632-0994 | |
| (910) 458-4824 |
| Full Name | Seaside Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1328 Lake Park Blvd N, Carolina Beach, North Carolina |
| Authorized Official Name and Position | Jessica Hadley Manning (OWNER) |
| Authorized Official Contact | 9102313265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Counseling Services, Pllc 1328 Lake Park Blvd N Suite 109 Carolina Beach NC 28428-3935 Ph: (910) 632-0994 | Seaside Counseling Services, Pllc 1328 Lake Park Blvd N Suite 109 Carolina Beach NC 28428-3935 Ph: (910) 632-0994 |
| NPI Number | 1265888119 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 4284997537 |
|---|---|
| Medicare Enrollment ID | O20180418002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265888119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1189 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C006265 (North Carolina) | Primary |
| Provider Name | Jessica Hadley Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437346202 PECOS PAC ID: 3173675816 Enrollment ID: I20090710000291 |
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