| Blue Mist Psychotherapy, Pllc | |
|
1864 Tacoma Way Denver NC 28037-1454 | |
| (704) 480-3693 | |
| (704) 703-6149 |
| Full Name | Blue Mist Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1864 Tacoma Way, Denver, North Carolina |
| Authorized Official Name and Position | Julissa Corona (OWNER/THERAPIST) |
| Authorized Official Contact | 6108416081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mist Psychotherapy, Pllc 1864 Tacoma Way Denver NC 28037-1454 Ph: (704) 480-3693 | Blue Mist Psychotherapy, Pllc 1864 Tacoma Way Denver NC 28037-1454 Ph: (704) 480-3693 |
| NPI Number | 1174415442 |
|---|---|
| Provider Enumeration Date | 07/19/2025 |
| Last Update Date | 07/19/2025 |
| Certification Date | 07/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174415442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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