| Speak Your Peace Counseling, Coaching, And Consulting Pllc | |
|
313 Marcella Dr Kings Mountain NC 28086-9251 | |
| (704) 473-5450 | |
| Not Available |
| Full Name | Speak Your Peace Counseling, Coaching, And Consulting Pllc |
|---|---|
| Speciality | Counselor |
| Location | 313 Marcella Dr, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Patricia Simone Mcintyre (CEO/OWNER) |
| Authorized Official Contact | 7044735450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speak Your Peace Counseling, Coaching, And Consulting Pllc 313 Marcella Dr Kings Mountain NC 28086-9251 Ph: (704) 473-5450 | Speak Your Peace Counseling, Coaching, And Consulting Pllc 313 Marcella Dr Kings Mountain NC 28086-9251 Ph: (704) 473-5450 |
| NPI Number | 1649032459 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 8628413481 |
|---|---|
| Medicare Enrollment ID | O20240302000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649032459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia Simone Mcintyre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609331750 PECOS PAC ID: 9537504394 Enrollment ID: I20240302000025 |
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