Ms Miranda Slater, LCMHC, LCAS | |
4006 Oleander Dr Ste 204, Wilmington, NC 28403-6808 | |
(910) 367-5089 | |
(910) 756-4424 |
Full Name | Ms Miranda Slater |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 4006 Oleander Dr Ste 204, Wilmington, 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 |
---|---|---|---|
1245616259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20590 (North Carolina) | Secondary |
101Y00000X | Counselor | A10746 (North Carolina) | Primary |
Entity Name | Triad Behavioral Resources Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336292556 PECOS PAC ID: 7911316435 Enrollment ID: O20210512002113 |
Mailing Address | Practice Location Address |
---|---|
Ms Miranda Slater, LCMHC, LCAS 205 Adele Ct, Wilmington, NC 28412-3166 Ph: (910) 616-3316 | Ms Miranda Slater, LCMHC, LCAS 4006 Oleander Dr Ste 204, Wilmington, NC 28403-6808 Ph: (910) 367-5089 |
Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263 | |
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192 | |
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870 | |
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232 | |
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378 | |
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214 | |
Emily Kohls, LCMHC-A, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3133 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-742-0489 Fax: 910-726-3979 |