| Blue Heron Counseling, Pllc | |
|
719a Greenway Road Room 214 Boone NC 28607-4816 | |
| (828) 406-7057 | |
| Not Available |
| Full Name | Blue Heron Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 719a Greenway Road, Boone, North Carolina |
| Authorized Official Name and Position | Karen Caldwell (CLINICIAN) |
| Authorized Official Contact | 8284067057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Heron Counseling, Pllc 161 Eastwood Bnd Boone NC 28607-8148 Ph: (828) 406-7057 | Blue Heron Counseling, Pllc 719a Greenway Road Room 214 Boone NC 28607-4816 Ph: (828) 406-7057 |
| NPI Number | 1265214191 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 1557719762 |
|---|---|
| Medicare Enrollment ID | O20231129001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265214191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Karen L Caldwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356586226 PECOS PAC ID: 2466800677 Enrollment ID: I20231129001132 |
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