Still Waters Therapy Pllc | |
13480 Hwy 50/210 Suite 213 Surf City NC 28445-8609 | |
(910) 622-3418 | |
Not Available |
Full Name | Still Waters Therapy Pllc |
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Speciality | Social Worker |
Location | 13480 Hwy 50/210, Surf City, North Carolina |
Authorized Official Name and Position | Holly Mann (LICENSED CLINICIAN SOCIAL WORKER) |
Authorized Official Contact | 9106223418 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Still Waters Therapy Pllc Po Box 421 Holly Ridge NC 28445-0421 Ph: (910) 622-3418 | Still Waters Therapy Pllc 13480 Hwy 50/210 Suite 213 Surf City NC 28445-8609 Ph: (910) 622-3418 |
NPI Number | 1831682459 |
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Provider Enumeration Date | 06/08/2018 |
Last Update Date | 08/07/2018 |
Medicare PECOS PAC ID | 4789926171 |
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Medicare Enrollment ID | O20190506000812 |
Identifier | Type | State | Issuer |
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1831682459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | C010307 (North Carolina) | Primary |
Provider Name | Holly E Mann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013394212 PECOS PAC ID: 2769759182 Enrollment ID: I20170606001203 |
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