| Vita Nova Counseling Services, Pllc | |
|
204 Muirs Chapel Rd Greensboro NC 27410-6173 | |
| (336) 355-6551 | |
| (336) 834-0442 |
| Full Name | Vita Nova Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 204 Muirs Chapel Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Anthony Allen Negron (OWNER) |
| Authorized Official Contact | 3363556551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Nova Counseling Services, Pllc 204 Muirs Chapel Rd Greensboro NC 27410-6173 Ph: (336) 355-6551 | Vita Nova Counseling Services, Pllc 204 Muirs Chapel Rd Greensboro NC 27410-6173 Ph: (336) 355-6551 |
| NPI Number | 1326769118 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 7911378294 |
|---|---|
| Medicare Enrollment ID | O20230622000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326769118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anthony Negron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578698288 PECOS PAC ID: 2668705807 Enrollment ID: I20190603003207 |
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