| Life Support Counseling, Pllc | |
|
690 N Reilly Rd Suite # 214 Fayetteville NC 28303-5724 | |
| (443) 985-0541 | |
| Not Available |
| Full Name | Life Support Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 690 N Reilly Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Hilary Watson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4439850541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Support Counseling, Pllc 18 Boston Hbr Cameron NC 28326-6238 Ph: (443) 985-0541 | Life Support Counseling, Pllc 690 N Reilly Rd Suite # 214 Fayetteville NC 28303-5724 Ph: (443) 985-0541 |
| NPI Number | 1235543448 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 2466670690 |
|---|---|
| Medicare Enrollment ID | O20140829000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235543448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007545 (North Carolina) | Primary |
| Provider Name | Hilary Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013174671 PECOS PAC ID: 3375761505 Enrollment ID: I20140829000071 |
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