| Healing Well Counseling Services, Pllc | |
|
112 Tiburon Ct Goldsboro NC 27534-7085 | |
| (910) 990-1190 | |
| Not Available |
| Full Name | Healing Well Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 112 Tiburon Ct, Goldsboro, North Carolina |
| Authorized Official Name and Position | Candra Nikita Edwards (OWNER) |
| Authorized Official Contact | 9109901190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Well Counseling Services, Pllc 112 Tiburon Ct Goldsboro NC 27534-7085 Ph: (910) 990-1190 | Healing Well Counseling Services, Pllc 112 Tiburon Ct Goldsboro NC 27534-7085 Ph: (910) 990-1190 |
| NPI Number | 1760183644 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 3678927977 |
|---|---|
| Medicare Enrollment ID | O20230920001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760183644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Candra N Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316586456 PECOS PAC ID: 8527430115 Enrollment ID: I20230208000301 |
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