| Mrs Juanita Massol, LCSW,LCAS-A | |
|
1830 Owen Dr, Fayetteville, NC 28304-1611 | |
| (910) 273-1393 | |
| Not Available |
| Full Name | Mrs Juanita Massol |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1830 Owen Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659664324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3214-A (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009318 (North Carolina) | Primary |
| Entity Name | Pinehurst Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
| Entity Name | Integrated Behavioral Healthcare Services, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689842551 PECOS PAC ID: 8729040316 Enrollment ID: O20041027000101 |
| Entity Name | Doctors Making Housecalls Psychiatric Medicine,pa |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1518107325 PECOS PAC ID: 9537213186 Enrollment ID: O20090815000138 |
| Entity Name | Renew Counseling Center Of Nc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528470325 PECOS PAC ID: 7315224680 Enrollment ID: O20170516000477 |
| Entity Name | Life Net Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629588496 PECOS PAC ID: 6901161603 Enrollment ID: O20180530001915 |
| Entity Name | Inspiring Change Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982251104 PECOS PAC ID: 0244630713 Enrollment ID: O20210621002880 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Juanita Massol, LCSW,LCAS-A 1830 Owen Dr, Fayetteville, NC 28304-1611 Ph: (910) 273-1393 | Mrs Juanita Massol, LCSW,LCAS-A 1830 Owen Dr, Fayetteville, NC 28304-1611 Ph: (910) 273-1393 |