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 |
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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 |
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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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