| Blue Lotus Counseling, Pllc | |
|
217 N 5th Ave Ste 102 Wilmington NC 28401-4269 | |
| (910) 399-4387 | |
| (910) 782-1256 |
| Full Name | Blue Lotus Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 217 N 5th Ave Ste 102, Wilmington, North Carolina |
| Authorized Official Name and Position | Carol May Horwath (SOLE PROPRIETOR/PROVIDER) |
| Authorized Official Contact | 9107778691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Counseling, Pllc 217 N 5th Ave Ste 102 Wilmington NC 28401-4269 Ph: (910) 399-4387 | Blue Lotus Counseling, Pllc 217 N 5th Ave Ste 102 Wilmington NC 28401-4269 Ph: (910) 399-4387 |
| NPI Number | 1760981203 |
|---|---|
| Provider Enumeration Date | 02/11/2018 |
| Last Update Date | 02/11/2018 |
| Medicare PECOS PAC ID | 4688937964 |
|---|---|
| Medicare Enrollment ID | O20180419001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760981203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008698 (North Carolina) | Primary |
| Provider Name | Carol M Horwath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447660105 PECOS PAC ID: 4880816602 Enrollment ID: I20141112000441 |
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