| Stg-standing In The Gaps, Therapy Services, Pllc | |
|
925 S Kerr Ave Ste F4 Wilmington NC 28403-4335 | |
| (910) 759-5590 | |
| (910) 769-0441 |
| Full Name | Stg-standing In The Gaps, Therapy Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 925 S Kerr Ave Ste F4, Wilmington, North Carolina |
| Authorized Official Name and Position | Leana Subrena Hall (CLINICIAN) |
| Authorized Official Contact | 9107595590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stg-standing In The Gaps, Therapy Services, Pllc 925 S Kerr Ave Ste F4 Wilmington NC 28403-4335 Ph: (910) 759-5590 | Stg-standing In The Gaps, Therapy Services, Pllc 925 S Kerr Ave Ste F4 Wilmington NC 28403-4335 Ph: (910) 759-5590 |
| NPI Number | 1427706324 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 1052765633 |
|---|---|
| Medicare Enrollment ID | O20231002000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427706324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Leana Subrena Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881227080 PECOS PAC ID: 2961856547 Enrollment ID: I20231002000051 |
| Provider Name | Laterriar Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558842831 PECOS PAC ID: 9335590314 Enrollment ID: I20240104001463 |
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