| Turning Leaf Therapy Services, Pllc | |
|
4909 Waters Edge Drive 200d Raleigh NC 27606 | |
| (301) 613-7709 | |
| (919) 598-5342 |
| Full Name | Turning Leaf Therapy Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4909 Waters Edge Drive 200d, Raleigh, North Carolina |
| Authorized Official Name and Position | Lisa Chaplin (CEO/THERAPIST) |
| Authorized Official Contact | 3016137709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Leaf Therapy Services, Pllc 4909 Waters Edge Dr Ste 200d Raleigh NC 27606-2462 Ph: (301) 613-7709 | Turning Leaf Therapy Services, Pllc 4909 Waters Edge Drive 200d Raleigh NC 27606 Ph: (301) 613-7709 |
| NPI Number | 1487038626 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Medicare PECOS PAC ID | 7315285996 |
|---|---|
| Medicare Enrollment ID | O20190206000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487038626 | NPI | - | NPPES |
| 1912157983 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008555 (North Carolina) | Primary |
| Provider Name | Lisa Chaplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912157983 PECOS PAC ID: 7113209768 Enrollment ID: I20170117000805 |
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