| Senior In-home Counseling Llc | |
|
3405 Fontana Lake Dr Fuquay Varina NC 27526-0109 | |
| (631) 793-2846 | |
| Not Available |
| Full Name | Senior In-home Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3405 Fontana Lake Dr, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Sally Peters (0WNER) |
| Authorized Official Contact | 6317932846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior In-home Counseling Llc 3405 Fontana Lake Dr Fuquay Varina NC 27526-0109 Ph: (631) 793-2846 | Senior In-home Counseling Llc 3405 Fontana Lake Dr Fuquay Varina NC 27526-0109 Ph: (631) 793-2846 |
| NPI Number | 1669483350 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669483350 | NPI | - | NPPES |
| 1235131566 | Other | NY | INDIV NPI |
| 02168298 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0701331 (New York) | Primary |
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