| Painting Miracles Inc. | |
|
3400 Walsh Pkwy Ste 218 Fayetteville NC 28311-1642 | |
| (910) 339-2121 | |
| Not Available |
| Full Name | Painting Miracles Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3400 Walsh Pkwy Ste 218, Fayetteville, North Carolina |
| Authorized Official Name and Position | Carmelita Tiburcio Bigelow (PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 9107774887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Painting Miracles Inc. 3400 Walsh Pkwy Ste 218 Fayetteville NC 28311-1642 Ph: (910) 339-2121 | Painting Miracles Inc. 3400 Walsh Pkwy Ste 218 Fayetteville NC 28311-1642 Ph: (910) 339-2121 |
| NPI Number | 1629851605 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 3476991332 |
|---|---|
| Medicare Enrollment ID | O20240410004172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629851605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michelle Stroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174155683 PECOS PAC ID: 2466882451 Enrollment ID: I20200414003846 |
| Provider Name | Jessica Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194357194 PECOS PAC ID: 9739527698 Enrollment ID: I20240410004196 |
| Provider Name | Anfel Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695743 PECOS PAC ID: 4486037173 Enrollment ID: I20240411003753 |
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