| Warm Embrace Counseling Services, Llc | |
|
29 Flint Way Blythewood SC 29016-5827 | |
| (803) 920-3946 | |
| Not Available |
| Full Name | Warm Embrace Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 29 Flint Way, Blythewood, South Carolina |
| Authorized Official Name and Position | Adrienne Michelle Jackson (OWNER) |
| Authorized Official Contact | 8039203946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warm Embrace Counseling Services, Llc 29 Flint Way Blythewood SC 29016-5827 Ph: (803) 920-3946 | Warm Embrace Counseling Services, Llc 29 Flint Way Blythewood SC 29016-5827 Ph: (803) 920-3946 |
| NPI Number | 1457137283 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 3375980055 |
|---|---|
| Medicare Enrollment ID | O20240318003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457137283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adrienne Michelle Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992456784 PECOS PAC ID: 4284071960 Enrollment ID: I20240318003561 |
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