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1777 Fordham Blvd Ste 204 Chapel Hill NC 27514-5885 | |
| (919) 283-3137 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1777 Fordham Blvd Ste 204, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Phillip Michael Bass (OWNER/COUNSELOR) |
| Authorized Official Contact | 9192104627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4070 Barrett Dr Raleigh NC 27609-6604 Ph: (919) 283-3137 | 1777 Fordham Blvd Ste 204 Chapel Hill NC 27514-5885 Ph: (919) 283-3137 |
| NPI Number | 1457929481 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457929481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Freedom House Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 New Stateside Dr, Chapel Hill, NC 27516 Phone: 919-942-2803 Fax: 919-942-2126 | |
Darryl F. Smith, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Cloister Ct, Suite 100, Chapel Hill, NC 27514 Phone: 919-402-4300 Fax: 919-420-4330 | |
Rachel Carroll, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1818 Mlk Blvd # 105, Chapel Hill, NC 27514 Phone: 919-614-9791 | |