| Deluca Counseling Inc | |
|
10850 Sam Black Rd Midland NC 28107-8446 | |
| (704) 890-8112 | |
| Not Available |
| Full Name | Deluca Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 10850 Sam Black Rd, Midland, North Carolina |
| Authorized Official Name and Position | Phillip Deluca (OWNER) |
| Authorized Official Contact | 7048908112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deluca Counseling Inc 10850 Sam Black Rd Midland NC 28107-8446 Ph: (704) 890-8112 | Deluca Counseling Inc 10850 Sam Black Rd Midland NC 28107-8446 Ph: (704) 890-8112 |
| NPI Number | 1235728460 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 1254740418 |
|---|---|
| Medicare Enrollment ID | O20210429002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235728460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Philip J Deluca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164465530 PECOS PAC ID: 4284790841 Enrollment ID: I20090305000430 |
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