| Becoming Counseling Services, Pllc | |
|
231 Westlake Rd Ste 202 Fayetteville NC 28314-4862 | |
| (910) 644-0307 | |
| (910) 222-3086 |
| Full Name | Becoming Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 231 Westlake Rd Ste 202, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tinyca W Bryan (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9106440307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Counseling Services, Pllc 8132 Tara Ridge Rd Raleigh NC 27616-8303 Ph: (910) 644-0307 | Becoming Counseling Services, Pllc 231 Westlake Rd Ste 202 Fayetteville NC 28314-4862 Ph: (910) 644-0307 |
| NPI Number | 1093302101 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 02/06/2023 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 9537682760 |
|---|---|
| Medicare Enrollment ID | O20250328001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093302101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871146241 PECOS PAC ID: 0446773675 Enrollment ID: I20250328002120 |
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