| Achieving Changes Counseling Services, Pllc | |
|
2554 Lewisville Clemmons Rd Ste 112 Clemmons NC 27012-9927 | |
| (980) 226-0414 | |
| (336) 776-0091 |
| Full Name | Achieving Changes Counseling Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2554 Lewisville Clemmons Rd Ste 112, Clemmons, North Carolina |
| Authorized Official Name and Position | Melissa Ann Johnson (PRESIDENT) |
| Authorized Official Contact | 3362832510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieving Changes Counseling Services, Pllc Po Box 1417 Clemmons NC 27012-1417 Ph: (336) 283-2510 | Achieving Changes Counseling Services, Pllc 2554 Lewisville Clemmons Rd Ste 112 Clemmons NC 27012-9927 Ph: (980) 226-0414 |
| NPI Number | 1871008672 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 6002161296 |
|---|---|
| Medicare Enrollment ID | O20180612000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871008672 | NPI | - | NPPES |
| 1871008672 | Medicaid | NC |
| Provider Name | Sarah B Ohoro-nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487891123 PECOS PAC ID: 4587818539 Enrollment ID: I20130129000357 |
| Provider Name | Melissa Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215113162 PECOS PAC ID: 0143448506 Enrollment ID: I20140826002077 |
| Provider Name | Suzanne Borofsky Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265919062 PECOS PAC ID: 3173864964 Enrollment ID: I20190403003123 |
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