| Butterfly Retreat Counseling Pllc | |
|
329 S Main St Laurinburg NC 28352-3833 | |
| (901) 501-3044 | |
| Not Available |
| Full Name | Butterfly Retreat Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 329 S Main St, Laurinburg, North Carolina |
| Authorized Official Name and Position | Lindsay Haywood (OWNER) |
| Authorized Official Contact | 9105013044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butterfly Retreat Counseling Pllc Po Box 781 Wagram NC 28396-0781 Ph: () - | Butterfly Retreat Counseling Pllc 329 S Main St Laurinburg NC 28352-3833 Ph: (901) 501-3044 |
| NPI Number | 1285242990 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 8325464720 |
|---|---|
| Medicare Enrollment ID | O20200817000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285242990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsay Brock Haywood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427481696 PECOS PAC ID: 1153665591 Enrollment ID: I20181211003844 |
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